HomeMy WebLinkAboutBuilding 02-0359
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- /5 -02-
cc
Ja=:-
LEGAL DESCRIPTION (office use only)
LOT/Z-BLOCK 3 ADDITION CA12{)( IJAl-
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO'OZ-03Sr'
ZONING (office use)
PlJSD
PID 2=>-32..2.-
-0
OWNER
(Name)
(Phone)
(Address)
~~;~)ER (\', C-~ .\0 ,~~ r:.~
(Contact Name) p'\\U', / ~~ --r; del", r:;
(Address)
(Phone) ?,5;~~ 1t.f() .- T~4 ()
(Phone)
TYPE OF WORK
ORe-Siding
o New Construction
J>Z{Lower Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $
DDeck
o Porch
ORe-Roofing
o Fireplace
DAddition
OAlteration
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
enter upo the property to perf, rm needed inspections.
( C-, ,
X '--1
Permit Valuation 3,000.00
Permit Fee $ 74. '7.5
Plan Check Fee $
State Surcharge $ 1.50
Penalty $
Plumbing Permit Fee $ 4- 0 . 00
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
vm4-
-
~./S-OZ-
Building Official
Date
Contractor's License No.
4/)S/~d
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 $ II~. 2,5
I ~;j!It hSM
Paid
Date
/~.2-5
-' /5-tJZ-
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.
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
Planning Director
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5957 r!/uJSJ'/7N'o~ sT
NATURE OF WORK L.L-. FINISA
USE OF BUILDING RE~ A/(L I I
PERMIT NO. (J 2'- ()..35C} DATE ISSUED +/r.; 101-
CONTRACTOR 7()/f? L3tJE~ PHONE 4-4-tJ - 7hffl
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
! ~21)t'[ '" I I
II"OI1N/).., ;;)".!JI.J.,( to Backfill) 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 I
FINALS
~~.-.."-
----=
rior to Sodding)
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 ~h9l11 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850