HomeMy WebLinkAboutBuilding 01-0736
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3 . Yellow Applicant
0-? :J
PID .:>.
LOT
OWNER
(Name) ')";q,n.e' ~
~/'1/~'~~
(Phone) ?5;;2 9~ - c.' g~'f>
Date Rec' d
i- /i--(] j
ZONING (office use)
{{;J.,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone) 95.;? - 23'9' / . -:3 9'6' "7
(PhG-n~J 1~/;2 " 5C <2 ~ 7c.::z- '7
OLower Level Finish
DDeck o Porch ~Re-Roofing ORe-Siding
o Fireplace DAddition ftAlteration OUtility Connection
- ..~
PROJECT COST/VALUE (excluding land) $ ~~~y-
TYPE OF WORK
o New Construction
o Misc.
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 pia . I am aware that the buildin cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e per orm needed iJl5i:! ons.
x
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
c/z?c;' /.s-9~/
Contractor's License No.
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
#
#
$
$
$ '2..6>0
$
$
$
$
$
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE ~
! I?-;d- ~ 4h
_~) -0 I
I ~~EtNOfP-lj'l
ur Building Permit When Approved
I Paid
Date
?-/7-~1
Date
7-/ 7-c/ r'
Date
$
$
$
$
$
$
$
$
$
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may 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
Th(' ("('nln of 'he L.kt Countr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT IQt1---~htUv;;y ~
APPLICATION RECEIVED 1 -" /1- () I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop~srd at:
~ 59 ~ --- Htv'J'UV &~
Accepted
Accepted With Corrections ~
Denied ~
Reviewed Byr -~-_ _ _~
I
Date: )-/7-a,d/
Comments:
Up~ S~k ~l.ecbt-:; ~.;v. +eu k<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
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS cs~R~2~Rp
TYPE OF WORK ~~ l2Of'~
USE OF BUILDING
PERMIT NO. 0/- 073~ DATE ISSUED 7-/7-2eJO/
BUILDER ~\'~~~ r~ f.IL-708-7aL./
NOTE: THIS IS NO PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
INSPECTOR
DATE