HomeMy WebLinkAboutBuilding 07-0604
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PERMIT NO. ---r -~C) 4-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
ZONING (office use)
L&4~~~'#~,7
&~~/N
Date Rec' d
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID~. /3/. oel(;. 0
BLOCK
OWNER
(N ame)
J /tY11 F3
~. FGE'JJ€I
1:/
QS2-Lf76-30'S-
(PhOiL ~ ti:b tJ&!j 8' 2-
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.:5;3
(Address)~S-~7
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility ConnectIOn
CODE: )(iT.R.C. DI.B.c. ~ Mise.
Type o~stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
~~Q ~ ~
PROJECT COST /V ALUE $
(excluding land)
I hereby certifv that I have hlrmshed Information on this application which is III the best of my knowledge true and correct. I also certIfy that I am the owner or authOrIzed agent for the
Jbovc-mcnt1o~cd "}' and that all Clmstructlon will conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans_ I am aware that the buildmg
otliClal can revoKe tillS pel It feJr JllSt calise Furthermo~. I h:rebyagree that the CIty official or a deSignee may enter upon the propeny to perform needed lnSpccttllns
X :,~ ~O f. ~ 6" j/-{)7
Signature Contractor's License No Date
Permit Valuation
Sewer/Water Connection Fee
Water Tower Fee
#
#
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
$
$
$
I $
$
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~ ~ 111 0
BulldllH! Unicial
$
$
$
$
$
$
I $
$
ThiS IS to certify that thc requcst in the above appltcatiOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes J temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issucd
7-/Cl -tl7
~e. l~Wl-w.~ .5Je-e-t:-
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
~e - Buil~
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ .-.~q:1?P~ff
{po 2 I~ (;7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZS-&'7 ~7 ~ ~-
Accepted
Accepted With Corrections ~
Denied
r
Reviewed By: ~ tk-.1 [) (),..) Date: t:, I z ~ /0 7
Comments: ~ ~ ~, ~ ~~
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"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 - Building
Canary - Enaineering
~ t'lnk - Plan~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
; l / i <
....,#'
/,
/
r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(
i
........ "
,/ "-" .
Accepted
\y
Accepted With Corrections
Denied
Reviewed By:
~1.
Ife.p <<-c.etne,.z- a~ k
,
Date:
7-/tJ-07
Comments:
liThe 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 25" 7 S-ffLI~ LI!Y ~(),
TYPE OF WORK ~CJC.. t2EJ'~
USE OF BUILDING S'. F=:" D "
PERMIT NO. t!J( - 0694- DATE ISSUED J!!I24 (tJ"
BUILDER ~ 6. t1I~N.eY PHONE # ~l-z. ~0(" "oCffj2.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING/~., kCIL ~ I
,
I FINAL I lIW7 I S-/It;"~
FOR ALL INSPECTIONS (952) 447-9850
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