HomeMy WebLinkAboutBuilding 02-0463
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I PERMIT NO. 02" 04cP ~ I
-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
J. Yellow Applicant
/4+ 24-
IC/I Vb /l/
e-ou,er AlE
Date Rec' d
ZONING (office use)
t'<./
LEGAL DESCRlPTION (office use only)
LOT 2/BLOCK / ADDITION I::.-N06 /-I/I-l- 5177 //00/1../.
PID25r~8- 02-/-0
OWNER
(Name)
(Phone)
(Address)
6/1t3L/"101 .::JASON ~NO SH61G/
S/7n6
BUILDER
(Name)
(Contact Name)
(Address)
()
(Phone) qCj;).;^-I7)~- liD??
(Phone)
TYPE OF WORK
o New Construction
o Porch
ORe-Roofing
Deck
OLower Level Finish
o Fireplace
OAddition
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
OUtility Connection
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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~Vhe property to perform needed inspections.
X ~ ~ ~ 1wt)'\}J 4 -~d--W
Signature Contractor's License No. Date
Permit Valuation -.:<
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"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
omes Your Building Permit When Approved
c( 50-0C
Paid
Date
is. ?r/J
- 7/0 z.-,
D r-)-02-
I ~~tt- u.z7r'
Date
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
~~
White - Building
Canary - Engineering
Pink - Planning
The C'f'ntn of thr Lab Countr)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
JtiSQAJ Cl,e/mD
4r- ~./O ~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 'I if. ~ LJ K Ii ur:Y\) Q-r-
Accepted
Accepted With Corrections ~
Date:
5-1- O?
"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
SITE ADDRESS 144zcJ Ro. ~ Of-
TYPE OF WORK U.c.Jc._
USE OF BUILDING S ~6
PERMIT NO. 02"'04-&3 DATE ISSUED 5'-1
BUILDER ~,.,Ji-- PHONE # c.t()~-j 7CJ2};
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I ~. 1~/toI62-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I ~ 0 15./;~/o-z,
I FINAL I ~. I 10--{-0'::;-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850