HomeMy WebLinkAboutBuilding Permit 08-0400
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Date Rec' d
CITY OF PRIOR LAKE BmLDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I (pf). c; a
/NE'
~s/ fJ€
I. White File
2. Pink City
3. Yellow Applicant
(P. 20.08
~fJl1;:A/lIV
I PERMIT NO. U 8, 04-001
$',
ZONING (office use)
je(J"O
-
t:::. .
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDmON
PIDZ5" _ elf". Doq./
OWNER 0
(Name) /\ oA
(Address) / ~,;J. ~ d....
~ /hJ /) IH? /j
LEI-IR~/<
(phone) 0; 5 ~ - 44-'1 -000 ')
L4kr;;-Si()~ ItvE, S. E .
BUILDER <: /J j
(Company Name) ":::>XP(Py'/O"- LOA./5r. /-1/L:.../
(Contact Name) ?~/C-J<:. /J.. Jot.....1 TZ-
(Address) jJ 0 ,130)( ~ {p S j)RIO~ ~ /-IN".
(phone) {P / ~ --1-1 0 ~ is? Ol 9 .;l
(phone) tI' I ex -4- Cf 0 - tP 02 '7
tJ~~3 7 ~
ORe-Siding OLower Level Finish
o Fireplace
TYPE OF WORK 0 New Construction eck OPorch ORe-Roofing
DAddition OAltera on OUtility Connection
CODE: ~I.R.C. OI.B.C.
Type of &mtruction: I n
Occupancy Group: A B E
Division: 1
NO 8l7t1R.S
liI Mise:
m IV V A B
HIM R S U
2 3 4 5
PROJECT COST/VALUE $
(excluding land)
~
~ 0,00,-
t I have furnished information on this applicatio . ch is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
property and that all co . on will co to all e . ring state and local laws and will proceed in accordance with submitted plans. I am aware that the building
. rmit fI r just , I h t the city official or a designee may enter upon the property to perform needed inspections.
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
aoo 3 35;J.. J
Contractor's License No.
{p - / /} -0 Z
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other I $
,
TOTAL DUE l'IJlfJ (PIt C{ of; $/9",79
I
~tNO. c;&D~")
1bis Application Beromes Your Building Permit When Approved
~~
Buildinl! Official
iP(UJlor
D~te
I Paid
Date '1 hi otp
,
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_ Befure occupancy, a Certificate of Occupancy must be
issued.
6"-,). r-t?~
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
White - Building
Canary - Fngineering
(pink - Plannk!9>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
)1
Accepted With Corrections
Denied
#~
Date:
6- :7-lf-08
Reviewed By:
Comments:
"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."
<=White . Buildiiig:)
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
NAME OF APPLICANT SU P~O{2; CaNsT I t-..J c...,
APPLICATION RECEIVED Co { '2...0 I 0 E
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 0 L... 9 2- L"A.LLES;Db
AU6, S,b,
Accepted
Accepted With Corrections V"
Denied
Reviewed By: ~ ~ Date: 6/~o/()1'
J '
Comments: ~ c&dc- ~ ~~ ~
/1 +- . 1/ I ( r I ~ ~ ., -/J /J
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~ O""l .J ~... t; -d~ -i-;yr ~~ ~.
~ ~ ~<tft{) ~ SoZ ~ ~t>c.JU ~~.
"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
RECORD
SITE ADDRESS 11d!l~ JJlJt:ES/~ AvE.
TYPE OF WORK ~
USE OF BUILDING ~ AI/Il.
PERMIT NO. 0 DATE ISSUED ~. OS
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL
THE PERMIT IS BV SEPARATE DOCUMENT
..."CT4
r FOOTING I '\ IVV I ' [- L.- {}{
-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
DATE
FINAL
06
FOR ALL INSPECTIONS (952) 447-9850