HomeMy WebLinkAboutBuilding 02-0711
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK ~ ADDITION
OWNER J b
(Name) 0 "
(Address) Y c:.. 2.
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
u-- (;yDr-
O~- 011 U
I PERMIT NO.
ZONING (office use)
~
f:
PID
lotL~
(Phone) Qs2 ~ 233--0//5
l'rd 7t-
BUILD~ oJ
(Name) ~
(Contact Name)
(Address)
TYPE OF WORK
(Phone)
(Phone)
eck
o Porch
ORe-Roofing
ORe-Siding
o New Construction
OUtility Connection
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
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
exnter upon th~PQeny')Penrform need1.Z!ectifls. _
Uli=b- ~ 0/1210z
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 $ /.3B. 8~
~-13- 02-
Date
Paid
Date
1~L~-~ L-
..;- 2-llJtP
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
~~
White - Building
Canary - Engineering
Pink - Planning
Tht' ('"nltr or thl! t.b ('aunlr)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~(0 h fJ Locc),<..e.-v
APPLICATION RECEIVED 10 -I ~ -0 C
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed~at:
L;5~C;~ ..JJu~O~A-/ c!J...-L-
Accepted Accepted With Corrections r---
Denied
9tr-
Date:
0-/3- 6--Z-
Reviewed By:
Comments:
v&a& ~ ~K .~.J--
"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 q~~9 ~~~ ~~
TYPE OF WORK ~/C
USE OF BUILDING Sr::
PERMIT NO. O~ - () 7/1 DATE ISSUED 10- I d -0;;-
BUILDER ~O h rJ Loct key PHONE # ~ 33-cf /13
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 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING 13~tC ~k,'~ I 4- I h,//7,/t; z.,
I FINAL I t/l/;/ I ;2-ko'-l
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850