HomeMy WebLinkAboutBUILDING 08-0406
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 White
Pink
Yellow
File
City
Applicant
5 k/,/ L-/ A/ C
AVE
/S7~5-~
Date Rec' d
(p. 2 I. 0 tJ
PERMIT NO. (g-OLfOh
ZONING (office llse)
e'S,
LEGAL DESCRIPTION (office use only)
LOT / BLOCK 'I ADDITION ~ ~ ~ AJJ _ ,
PIDZ~, /if3,OtJ.;Cj,0
(Address)
W,~~t--
S~iL10(/L2
1='-. L .
OWNER i/
(Name)~\~r-
I Sf ~)3
Av&
(Phone) 95'1- Vt./ 0 - .J)o 7
fYl/\J .:sS'-S 7 2..
I
i BUILDER ~ //
I (Company Name) I C tJ,'..../,,&,./ &- 'f't'".,C'/e;;'-~
I (Contact Name) 7J~ f-!,'>>ce /
I (Address) 9::< J c.Qh'f=df'vt/"i
-::r~ c .
(,/;2,,~6r' b 96 /)
S',
(Phone)
(Phone)
""t. rr/IQ
p",~
~
TYPE OF WORK 0 New Construction
DAddiIJon DAltera
CODE: 'rxfI.R.C. DI.B.c.
Type of ~struction:
Occupancy Group: A B
Division:
Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish
DUtility ConnectiOn
XI Misc. \.U/STA,' p-..s
D Fireplace
B
S
, ,
~ LAt-J 01 ~~___
PROJECT COST IV ALUE $
(excluding land)
I
E
II III
F H
0)2
IV
I
3
V
M
4
A
R
5
U
x
I hereby certity that I have furnIshed mfnrmatlOll on this application which is to the best of my knowledge trut.' and correct. I also certify that I am the owner or authorIzed agent for the
above-mentIOned property and that all constructiun Will cunt(lfm tll all eXIstmg state and local laws and will proceed in accordance with submllted plans I am aware that the buildmg
offiCial can revoke t 'lmlt tin Just cause Furthe. ore. I hereby agree that the City official or a deSIgnee may enter upon the propeny to pert()fm needed ll1SpectH>l1S
~- :? OS- rL/lJo ~ ~,-~Lf Or-
Contractor's License No.
.!7
, /'-/.
Signature
Date
Permit Valuation
Sewer/Water ConnectIOn Fee
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
I $
$
Builder's Deposit
Other
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I This Application Becomes Y OUI Building Permit When Approved
I~~~
! lluiltling Ulliclal
~/2~(O~
Date
#
#
$
$
#
#
?
ThiS IS to certlty that the requL'st III the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed ilS requested ThiS document
\\'hen signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate nfOccupancy must he
isslled
.5iee-t:
C-,;l<;-08
See.
~N1l'tled
Date
24 honr notice for all inspections (952) "47-9850. fax (952) ....7-..245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
White - Building
. eering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"
j
/
.:1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop~sed at:
-1 .- if
~/ I"". .;'\.. r /~( . / . !
/ I ......-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Date:
b --fl r". t78
Comments:
v. N"d ~L~..-e~ 5'rrf>tr"t",I"f'.s Q.f' '-/7:" -!fI''';
"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."
~-B~
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, I c ~............. f-..P 61-1dM<-.......o ;.G c .
to. 2-4-/03 .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application fm construction activity which is proposed at:
I <) I ~ ~ $~ '1 L-/"A.A." L.... A VG
,
Accepted
Accepted With Corrections
I
Denied
I
~-<~ ~ Date: ~#5~t?
~ ~. ~~ ~
~~ ~~~.,.JJ
A. ~; '-'~4-~ ~ ~ 1/ ~ ~
Reviewed By:
Comments: ~
~~
~ ..Ao-z~
<f4#V- ,
"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
INSPECTION
REC09D
--15753 ~L'I-JE h1DJ1lE
IJ&J ~ ~
S,t=: I> ·
DATE ISSUED ~ 1..'5 ~
BUILDER . · 'I-IChIONE # -'ft. - SG.I'..'~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.,
..
. INSPECTOR rf:ii-E I
I FOOTING -- (p ~~ I f?~ I -1; /0lB
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
~ / I
1 10/_10/ ~
FOR ALL INSPECTIONS (952) 447-9850
I FINAL