HomeMy WebLinkAboutBuilding 01-0913
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8-/5-01
~. ~i~~e ~:~y I PERMIT NO.O 1-()O/3
3. Yellow Applicant , -,
ADDRESS /(;/I;.lf L.4-~.5.~ V"',
p"",\y.. L~ I Mv, _
~ :s 7 d.....
LEGAL DESCRIPTION (office use only)
LOT 3ft; BLOCK
ADDITION
LI1~/06 Pflf2K-
PID 2..5 -0
ZONING (office use)
1<-/5.1)
OWNER
(Name)
t1'1~~ r=Lu~("
J~/~~ ~S,..~ u,..,
,po/' , w LAk~, ~,),
(Phone)
%d-.
'-I '/0 - ~ '-/ '2. L
(Address)
BUILDER /J _'
(Name) .:z:.c,,12., ~"'ev~t~
(Contact Name) :r ~~
(Address) J;).';i-l r t.c..IocA~Dr. (j~u,~'-"- Y11 ~,
(Phone) ~~ d-
(Phone)
~~3
..::r;.v -- .
TYPE OF WORK
o New Construction
DDeck
o Porch
ORe-Roofing
WO-..Jllf
ORe-Siding
t~~~
o Fireplace OAddition OAltera~
PROJECT COSTIVALUE (exc1udingland) $ r 10 .t:>oo
OUtility Connection
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo the property to perform needed inspections.
OLower Level Finish
X
Permit Valuation 10
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
s Your Building Permit When Approved
e-/~~ ?J::o(
Date
$
$
$
$
$
$
$
$
$304-.0
I Receipt No. if/) jtj ()
By ~/
~c.- fY-Ol'/c:;f1SC,
Contractor's License No.
Park Support Fee
SAC
#
ct/tf!CJ/
, Date
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
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
issu~1 ~~. J. ~ I l\
/~l ~~4"=- f.Jnj81 ~fl A'~~X, ~~
PI' ector Date <, Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I ~~~ j04/~~'i I
White - Building
Canary - Engineering
Pink - Planning
The ('en IN or Ihe I.."r Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/. C. /2 _ ;26:5Tl);:U1n 0 AI
6-/5-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&/04- LfitbSIDE DE/Vb
Accepted
Accepted With Corrections ~
Denied ~ A
Reviewed ri(y - _ ,
Date: b'-fS-dzv {
Comments:
r I. l1P~ SW\O~ cllLk.6J 51 ~crL oJ ~ ~s.R..
"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."
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 1W ~~ ~kt ~I~ Dr .
TYPE OF WORK ~p\ap€. -O<I~+;~ ~.l ~r
USE OF BUILDING S ~ D
PERMIT NO. - 0 DATE ISSUED ~--(5--k(
BUILDER I<:- Gb PHONE # 'iQ....Bfo- ~ If ~
NOTE: THIS IS NOT A PER T FO ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN
FRAMING
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850