HomeMy WebLinkAboutBuilding 06-0381
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS ZONING (office use)
/:J-357 J;;R'.oL";~
LEGAL DESCRIPTION (office use only)
1 White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO.,,-_ ~ {
LOT (; BLOCK J
ADDITION Wt~ol
-tb
OWNER
(Name)
~(V~-L')
(Address)
BUILDER
(Company Name)
bl::X# exTd-~/{)/iO
(Contact Name) &/1 /:~~/I J
.~
(Address) .:5?Y.....T!3 &..AcL.SA/~C r#/I
~~
PID :2.5- Z21 -6
(Phone)
(Phone) b.S7-~f3 ~ ~B
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
Re-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III
H
2
V
M
4
A
R
5
IV
I
3
I
E
II
F
I
o Mise.
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
x
I hereby certity that I have hlrnished mformation 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 eXlstmg state and local laws and will procecd in accordance with submitted plans. I am aware that the buildmg
offiCial can revok' s permIt for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspeel10ns
,~ B 203Y/9/3S ,-")-/6-Z~,"
gnature Contractor's License No. Date
Permit Valuation ~. t;""~ ~
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '7('~
Paid
Date
Z;1;'
Rece,t No.
BYt
S/4]Z--
ThIS IS to certify that the request m the above applical10n and accompanymg documcnts IS m accordance WIth the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner conslltutcs a temporary Certificate of Zonmg compliance and allows constructIon to commence Before llccupancy, a CertIficate llf Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (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 ~ e.. c.~ eX+.e.tl~1j
APPLICATION RECEIVED ~ /, ~ / 0 ~
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5351 Sc~o~ ~
Accepted X-- Accepted With Corrections
"
Denied Y I< _ i -
Reviewed BY(/ J V.nf~
Comments:
\. ~\lt~ ~\.ous\\~ It,'\"
Date: 1f~~ l-
I
z. Qjj 4:t 4~ lUrwf ~~l?'
"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."