HomeMy WebLinkAboutBuilding 06-0073
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I _ "3 J - (){)
8~4L hlra; l
LEGAL DESCRIPTION (office use only)
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PID
)
LOT
BLOCK
ADDITION
(Phone) (95;2- J tjr.;r- - 6'6;-1
OWNER
(Name) po",.J Kaf(t"") 12;'1I"'t.:>J J~.'
.5:nx
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Hal' l.d-. l-bm~.r I~ L ,
;1Q+.t J.k/liS~
1 White
Pink
3 Yellow
1 PERMIT NO. 0(; - 131
File
City
Applicant
ZONING (office use)
RIS D
{\-[)L/3
(Phone) (~~ 'IlD-7D~
(Phone) (~) Ztfz -7&7'>
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition ~Alteration OUtility Connection
o Misc.
CODE: DI.R,C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
II
F
I
III
H
2
IV
I
3
V
M
4
I
E
A
B
ORe-Siding OLower Level Finish
o Fireplace
A
R
5
$000
B
S U
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have furnIshed mformatlOn 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, that all constructio will conform to all existmg state and local laws and will proceed m accordance with submitted plans. I am aware that the butldmg
otflcial can revok' It for Just cause Fl .morc, I hereby agree that the City official or a designee may enter upon the propelty to perform needed mspecl10ns
x
Signature
Permit Valuation 5000 oe
Permit Fee $ 117 ''-.5'
Plan Check Fee $ 76 5"'-1
State Surcharge $ J- s-v
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
},.hJl..,
Date
.:?Oll:> '8'1'1
Contractor's License No.
"31 .JP'I O~
Date
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE (iJ)..t~d ;) ~ 1- fc $ /ctt. ?!f
Receipt No. -) 0 5S ~
By (!) "
Paid
Date
I ;](c:j9
,. -Ob
This is to certify that the request m the above applicatmn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows constructIon to commence Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f-/ r1.-- IV /s A
J -3 / ,- 0 ,
/-/ {) /1/L ~c::
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ '-/ I 71 ,~ h LLc/L /
/
/1 et:LC~
,
;;~J.
Accepted
Accepted With Corrections
~
Denied
1M ~-
Date:
2 - ( --c:J&
Reviewed By:
Comments:
~.
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/F .sfv{.(()
IA.r I /f <..Jo vv q ~
/1 rr J"C --J
I>
r -( of C{ Gee LJ _
"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 - DEPARTMENT OF
, .. BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED -/-""
BUILDER.. 'C,.s PHONE #~"J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTION
RECORD
~,." ~.Jy IJ.~"
"',~ ~
,,_,-,
INSPECTOR
1~"'1 I
PLACE NO CONCRETE UNTIL ABOVE H~ BEEN SIGNED
I FRAMING I ' i1/V I ).-'o'U0
DATE
I FINAL
f~.~
FOR ALL INSPECTIONS (952) 447-9850
I
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