HomeMy WebLinkAboutBuilding Permit 14. 0760 J
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it o4 P14/1.4:, CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 1.)"1- l d
,. x AND UTILITY CONNECTION PERMIT
414NEsOlt. I. White File
✓
PERMIT NO. /�f
2_ Pink Airy �C&7
�
3 Yellow Applicant • e 4
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
. 3z.eit CayCom— /tea,/ 5
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) �AIVia-� 6g/� (Phone) 4s7 -� � 6/ � - ' J .
(Address) 5-5-i4 y (19-,./ /amus�E
BUILDER , l!
(Company Name) /v (/L4e/ ( to _ ) (Phone) /g-2---1157 - 74,6 4
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction 5k ❑Porch 0 Re-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
['Addition ❑Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ 3 ) cl:::: )
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
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 upon the property to perform needed inspections.
�
X
Signature Contractor's License No. Date
Permit Valuation 3 606 , 00 Park Support Fee # $
Permit Fee $ !' a_S SAC # $
Plan Check Fee $ 57✓ 3 (, Water Meter Size 5/8"; 1"; $
State Surcharge $ /V 7 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DjFmet e9-r_(4, $ ! 17,_ //
This Application Bec es Your Building Permit When Approved ai i ( 4' 9 , ( Receipt No. /J j �j' ,
Date By ( l
dia. -1(3 fit y
inOfficial Date
Building C
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 ' nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occu7ancy must be
issued �. / �� l
� c
Plann iirector Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
a4 rxro4,
White -Building
Msoc�' Canary -Engineering
Pink -Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ✓IW/D /` • f/
APPLICATION RECEIVED 1. 3 0- /The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
552_4- A/DV (C/A 772-4"( .
Accepted ✓ Accepted With Corrections
Denied
Reviewed By: z-?c)` Date: ( \f
Comments:
`f 1 8
vI ct
"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."
O1 YRI0�
• 0ti�
White -Building
,� ��, Canary -Engineering
Pink -Planning,
BUILDING PERMIT APPJ.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D `1D 6 e/
APPLICATION RECEIVED 1- 0- /4----
The
` --The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
55 2_ 4- e.fl A/V V ~ kie" Tie.iti / C__.,-
Accepted 2S Accepted With Corrections
Denied
Reviewed By: �� Date: - " l
Comments:
4
"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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6
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PRIOR LAKE BUILDRNG A DINSPECTION
INSPECTISN
CO D
SITE ADDRESSty�x 7;14. .
TYPE OF WORK USE OF BUILD! r 'Aria
PERMIT NO. L _a DATE ISSUED
BUILDER "'lir-77.47 PHONE # Weim"
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING
I FINAL
FOR ALL INSPECTIONS (952) 447-9850
•