HomeMy WebLinkAboutBuilding 07-0450
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(P. f.07
File
City
Applicant
I PERMIT NO. 07~0460 I
] White
Pink
Yellow
(Please
ADDRESS
/ve
5531
1>3l/ ~
s.,.
LEGAL DESCRIPTION (office use only)
LOT
~G
&of 7
PID 2
BLOCK
ADDITION
OWNER
(N ame)
L cS1E' J2..
63'16 ~
F- 13 A e.. t.. H L f; ;t..
Iu'c Ie/oil LAte I )11N
(Phone) 151... '1/)6 15'15
5" 312
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
S EL-,:
(Phone)
(Phone)
ZONING (office use)
SD
. t:'J03 ~ c
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: ~I.R.C. DI.B.c. ~Misc 1?o01= A fur- [, I..J 1.) A
Type of onstruction: I II III IV V A B PROJECT COST IV ALUE $ 1.'100. 00
Occupancy Group: A B E F H I M R S U .
Division: 1 2 3 4 5 (excluding land)
e hlfOlshed informatIOn on this applicatIOn which IS (() the best of my knowledgc truc and corrcct. I also certify that I am thc owner or authOrized agent for the
rry and that all construction will conform to all eXIsting statc and local laws and will proceed In accordance with submllled plans I am aware that thc buildIng
It for Just ause Furthermore, I hereby agree that the Clry official or a deSIgnee may enter upon the property to perform needed Inspections
x
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
$
$
$
$
I $
$
#
#
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
la/~{CJ 7
BuildllH! Otlicial
(,-q-O]
Date
$
$
$
$
$
$
$
$
$
t No. 57'S
issue
ThiS IS to certify that the request in the above applical10n and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested. TIm document
when" cd by the City Planner constItutes a temporary Certificate of Zoni complian c and allows construction to commence Before occupancy, a Certificate of Occupancy must be
7
Special Conditions, if any
(0
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
>(
.
Accepted With Corrections
Denied
Date:
b I S- J 0+
Reviewed By:
Comments: ~ ~ ",,~-R ~ c.LA.P.
"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."
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Lc;~\tYL b. BAcc..H LE)'L
APPLICATION RECEIVED fa I L..f I 0 7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
to3'-1tp c.oN~OY ~- ~.L b ,
Accepted
Accepted With Corrections
/'
Denied
~~
Comments: ~ CJ.-.tP ~ ~ Jl.J2JL,
~~~~
ff -:;;;6t ~i 4'-/ ~ _<1 ~
,
Reviewed By:
Date:
Cats (0 7
"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 ~ ~L{ (0 CClN~'i ~ )J.e.
TYPE OF WORK RDoF eA\)i 0 "'NT IV A
USE OF BUILDING ~,F.D , ~
PERMIT NO. 1" 1!3b _ DATE ISSUED kJsl 0"7
BUILDER ~a.. '~~\Y.EIL PHONE #jSt,- ..,~-~S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I....CTOR DATE
. -. J
PLACE NOCO TIL ABOVE HAS BEEN SIGNED
I FRAMING / sre- ENGJJ.Jei.7t.i; VW' I
I FINAL I ~ I
1
I
-; - ),-0/ I
FOR ALL INSPECTIONS (952) 447-9850
?,~. i; , .' ~~1 . ('. ~~ n-: