HomeMy WebLinkAboutBuilding 02-0157
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
W' Ie.. o~ VIe "'../
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK (p ADDITION 7716
-02-
I. White File
2. Pink City
) . Yellow Applicant
,
I PERMIT NO. 0/0/571
ING (office use)
PUJ)
/l-LJ..s
PID 25 - 2f/l-
OWNER
(Name)lhtt~Y r 1~/iJcJll'iU4i
J~'" L ,-/[J/' IV-
.
(Phone) 7";;4 - "1- ~.J' - () -2.,.. ~ }L
(Address) Itfr "77 tv' I '-"'~ v I J:: tA/'
;... VcJOrc Co. Ov C
BUILDER
(Name) rUt'- OJ: (. K'
(Contact Name) P..A Y
(Address)
It/~I\/t<./I'i ~ 11..)/
J/':l'Z..
/:J ~ /i~N ,*-I/A It:
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
(Phone) 6v 1- ;- / - j" 19 L
(Phone) 6/ i1.. -'f)t.l'"'~~ /,~- ,.
I fV0'c <. 6;1!?vvh #7 J /'4/./ 5::S-" 7' '7
eck
o Porch
ORe-Roofing
ORe-Siding
OAddition
o Alteration
1/
OUtility Connection
lIiL
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 roperty to perform needed inspections.
x
Permit Valuation 4.<<1).--'
Permit Fee $ 'i'1.?c:
Plan Check Fee $ ftR .2.\
State Surcharge $ t.~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
"2.. -( 1- Oc......
Date
~'/-v-7
'J- 'J~ - tJ -V-
Date
Contractor's License No.
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
--02- $ bZ. h
I '::;'~4IJ74--
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I ~~~ I;:-~ ~
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 (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht' Ct'nlt'r or Iht' Lakt' Counll")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
DECK- ~ DD{)!C-
2 - /1-02-
w.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~597 YV/L,DS VI6vV
Accepted
Accepted With Corrections
Denied ~.fl A
Reviewed BY:~c::..-
Comments: ~/JV 77It5
Date: 2 ~ /1-0c-
LJ~ MNo dl/ /
...,.
"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
INSPECTION
RECORD
SITEADDRESS J45'97 WLl&s 1j{,~)
TYPE OF WORK "b.. 1 1:h:- k
USE OF BUILOING SF D
PERMIT NO. Dl'" 0 /51 DATE ISSUED 2-(1-02-
BUILDER M. \-'~ ~ PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING ~ ().. D~
PLACE NO CONCRETE UNTIL ABOVE HA BEEN SIGNED
J FRAMING I I
Call between 8:00 and 9:00 A.M. or all i spections
FOR ALL INSPECTIONS (952) 447-9850
FINAL