HomeMy WebLinkAboutBuilding 01-0358
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1-/-J 3-() I
/~7""7 - BAY
vE:
p~o/<.
Date Rec' d
1_ White
Pink
3. Yellow
l
I PERMI~J~().t1/_()35'b
,)',1
File
City
Applicant
.L/}.KE'
ZONING (office use)
R I SJ)
LOT
LEGAL DESCRIPTION (office use only)
BLOCK ( ADDITION!J)~ L.[fJ- II ctl10
OWNER
(Name) &~ q: 4/ //(,)LL/~
BUILDER
(Name) L)t"90/a ""-. r;ee-~oe)lc..'
(Address)
ORe-Siding
TYPE OF WORK 0 New Construction ~Deck OPorch
CK~r ~.P~~
DLower Level Finish D Fireplace DAddition
o Misc.
~ .:Sr:- 5. E:
(Phone) ~Z-4--?-7-3~'78
(Phone)
~~7-B9d?J-
ORe-Roofing
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $ 3.:5"00.
,
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the buildin official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the ro erty to perf or needed i ections.
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
l( ~ 7 s-- ?~Ol
Date
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1" ; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ to,? 52-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th(' ('en't'r or Ihe t.kt Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~id tre=-bc>r,J
APPLICATION RECEIVED 1- d 3-6/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ!~ which is proposed at:
/6'7'11- l5ayftve/
Accepted Accepted With Corrections ~
Denied ~~
Reviewed V-t/ ~
Comments:
Date:
t{- '2 S::2oo(
~#e (j)~~ ~~J
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
--
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~'l~1 ~J€...
TYPE OF WORK I:er K
USE OF BUILDING SF I~
PERMIT NO. 61 ,o3~ DATE ISSUED (j-2<;; - c.cx::> I
BUILDER ~o ~A t. '-(((7-8 fL S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING
PLACE NO CONCRETE UNTIL ABOV
~ I
I FINAL I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\,