HomeMy WebLinkAboutBuilding Permit 05-0581
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
(Please
ADDRESS
jJj3 --1/
fA)
Date Rec' d
White File
Pink City
Yellow Applicant
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 5BLOCK 1 ADDITION WfNJ'I7I'i#/V
fTJ....
PID.)5- 'Y/i- otff- 0
\ OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
tJeNJ'11J9NN
Gar7
,
";95
jJ(J I1J lj
(Phone)
(Phone) ~51' <j{J(,.- 'fYoO
(Phone) ~ / ::2 - 3 ~ f,. 7 ~ / :L
ORe-Siding OLower Level FinIsh
o Fireplace
TYPE OF WORK 0 New Construction ODeck ~ch ORe-Roofing
OAddition o Alteration OUtiJity Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
B
S U
PROJECT COST IV ALUE $
(excluding land)
II
F
1
III IV V A
HIM R
2 3 4 5
. crtJ
~OOO
I hereby certifY that I have hlrnlshed mformation on this application which IS to the best of my knowledge true and correct. I also certIfY that I am the owner or authoHzcd agcnt for the
above-mentlllned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can r voke this perml! r Just ca Furthermore, I hereby agree that the CIty official or a desIgnee may enter upon the property to perform needed mspectlons
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
BlIildl11!! Otllcial
G" ),P-r)S"
Date
/"YSJ'
Contractor's License No.
(p--/o - 05
Date
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 $ 31-5: ~ /
Paid
Date
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~~lf:7~~O')' I ~~"iPtN: -~
ThIS IS to certifY that the request m the above application and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
WhC07i4:ig 'd by the i Planner constItutes a temporaty Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
G j,U--OS
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
~ng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W-ei/ll) ~.." /-Iv vke. ~
C '-{'I-os;-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/434( l1/~t~kl(
Accepted Accepted With Corrections
Denied
IM(!J-
Date:
6 ~ ).O--or-
.
Reviewed By:
Comments:
"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
ifuna~ ~ing
k - Plan .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I AJP/I', 01", '''. \
/ iO. 11..( ,
G.'. ,(, "
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(I I '? ' , ,
;,......., ;;;,;I-,.,.f.l
I '[/-1 l' /-', i
V if -'. -t/.! I'! /'
Accepted With Corrections
v
Accepted
Denied
l~.l ( ;;2 t-
o
Date:
r.; )0 oS
.
Reviewed By:
Comments:
!Il1vs. +- J/V1 cdl/IA
r ~ Il1 tJ.. -{ .r;;-.
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pc) 0
I Z (
out-
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."