HomeMy WebLinkAboutBldg Permit 02-1221
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or orint and sign at bottom)
ADDRESS
ilJ~
I t I/O!)
LEGAL DESCRIPTION (office use only)
~
LOT
BLOCK
ADDITION
I. White File
2. Pink City
3. Yellow Applicant
~
Date Rec' d
..
PERMIT NO. oa- / dd--l
ZONING (office use)
R~
PID;;{5- 90;<- /d-f--O
~e)~'::'~.I1r~at &-/YV{'~.Lkd . C" 'j90d-VV7-c)'V~/
~ / to~()O Du /uz-t.J)uc S.~ P/LUl/l- /..-A-ki /J1;J 55;37d...
BUILDER
(Name)
~ _,'i) ~"- ('-1 /fLe-,vcl:c-/'-/
(Address) I
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
(Phone)
(- _' A/'l7-~~~/
o Fireplace
o Addition
~e(th~~ l
OAlteration
ODeck
OPorch
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
t:>-: 1')1') I') .rVi
,
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
~terup~~~~ d-~ '/n /#7/c;~
/ I Contractor's Licens~ ' .,
.5;cot::'.eq:fiJ, ~
$ If l ' 2L;
$ 72.sl I
$ 2.'50 I
$ I
$ I
$ I
$ I
$ I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I G~pla}1 Pel11}it Fee
i )// A
I This . . tion comes Your Building Permit When Approved
)1
0/-27-0'L
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
"
~.Ob
.~ ;;L7--~
,
#
#
#
#
$
$
$
$
$
$
$
$
$
.
J(jU; ,0 {p
. - .-...............
I Receipt No. h'~!/}
,By 7JI/-
. 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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
The' Cf'nltr of Ihe' t.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Q~,u ~~ at s\
C;-2{-~
M\'c..L.1. C~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~ L/ 00 Ol> \ u \-'vL
Accepted
Accepted With Corrections
X-
Comments:
J, QJuS:>
Denied /) j} f2 _1-
Reviewed BYU/Y ~
4- t-oO ~\A ~
Date:
'"
Cj- 27-0'2
Mevlu ( eel. ~
Ok-~ u f\M cf
"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."
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~ sI~ duJo f4
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A--1=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~CH FINAL f)
/CtV"OO f-
COMMENTS:
;J //
.JC.6o r-
DATE nMe
~/qI~-
},
o..2-/~2/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ / /
C~~#/~f"Y-
~
/
/.-./
( C::/C3-e
"
-
"""
-,
~
~/ '\
/-1' / to )
- ./
---
~
>>ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl