HomeMy WebLinkAboutBuilding 02-0459
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
<)--(--OV-
, (JI ; q .~
Pt(V ~ Mthue.
], White File I PERMIT NO '6 ,
2 Pink City . /Y7 ,. ()' a
3. Yellow Applicant . U V -, ,
~[;
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) 'l5.' 2. -44'1 - "L;. 5
(Address)
jch h \L v-be-ft-n
i L: 3(;1 ~ Pa.v~ ~ A-'vf r11.A c-
BUILDER
(Name)
hrt ""rh i r
Bi 1\
tov"s.-h-u t'-h b)'i
&. y~'vl
'is i..U' n~'v ill
(Contact Name)
(Address)
I 44 D ()
TYPE OF WORK
New Construction
OLower Level Finish
o Misc.
~E-
(Phone)
(Phone)
Cif;'L- 440 -I/SD
qS2-44b-'I~D
Ht0
~.S3D ~
o Porch
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
f,;.DDD
] hereby certify that] 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. ] am aware that the building official can revoke this permit for just cause. Furthermore,] hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X ---Ytt1rIL ~.~ ~
Signature
Permit Valuation 2- .t90
Permit Fee $ ~cr.'2.
Plan Check Fee $ <fS-,O(
State Surcharge $ .(5)0
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
omes Your Building Permit When Approved
~/-O?
Date
202llPII 0
~/ 2- ) i'."? -'
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ //5.Z&
~i). 2-~
S - I ~ 0 -z,...---
I '::,~ ~ /7~ e;
~id
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.
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
SITE ADDRESS /~3 93 PPf/UJ("q r/C.
TYPE OF WORK j;J~
USE OF BUILDING a5/1/fG-
PERMIT NO. 02" (]4S-c; DATE ISSUED 5-/,-0 L
BUILDER ~{)fJ-r1 t../R- PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING ~~
PLACE NO CONCRETE UNTIL ABOVE AS BEEN SIGNED
I FRAMING p~", ...,.~ D.c~1 Ih- 10!I7/~v J
I FINAL [f)1 I C 257-(:0.-(:__ I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE