HomeMy WebLinkAboutBuilding 02-0324
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File I PERMIT NO I
2 Pink City . 02 -0' 224-
3. Yellow Applicant , 'J,
!t,m61e-Lu5{)d j)}-- /Llb
ADDRESS
S58?
LEGAL DESCRIPTION (office use only)
LOT 'BLOCK" ADDITION
d/J~
Lj-,5-Q~
ZONING (office use)
puD
rd-
PID
=V;J N. JohrLISOl'\
(Address) ,SO- yn e...-
"111";<,152- y?6-~/;?o7
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o New Construction
~ower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAlteration
o Misc.
OAddition
OUtility Connection
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
. enj.~.Lu on the prop~to perfor .~eeded inspections
Permit Valuation :I, 0cX> .00
Permit Fee $ 14 z.. 2.-5
Plan Check Fee $ -
State Surcharge $ /.00
Penalty $
Plumbing Permit Fee $ 40.00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
tfa -02-
Date
Contractor's License No.
,,~,
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ 103. ~
I ~;cei~/StP '1
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
I03.Z.~
4-- PJ-
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, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Sse&:, A~U.elJ..)(x)(d
NATURE OF WORK Law~ /4,v...J ~'Vtc~
USE OF BUILDING SF D
PERMIT NO. 02 -()324- DATE ISSUED c/-B-o:<
CONTRACTOR O<<vrc.l Jdk.sM PHONE 95:1.- qCJc'- /7~7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r.-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
G/} -0}
G-K dJ
.JK~~
SIGNED
\
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850