HomeMy WebLinkAboutBuilding 02-0470
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5=-Z-O'L
()o - 6l~
I. White File I PERMIT NO ,
2. Pink City . 0 l ...-{) 4-1 ()
J. Yellow Applicant . .
ZONIN G (office use)
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK 2- ADDITION ~Ot:J ///~-(."..- -1-r1t
PID
OWNER ~ . n
(Name) J~4'lle.x~
(Address) I
(Phone)
9sz. 19&39/2
BUILDER
(Name)
Zk fJc, 3 ~I\ ~-31f1A lilt .cVP,IlA-
Ie,; Ie 5-1'^;dl s
V,'urcr; I\: ::n: ~orin.
(Phone)
(Phone)
9)z- 7'~(a 1477
4)~ 911 73 ;'5"
(Contact Name)
(Address) ~z.,.70
TYPE OF WORK
o New Construction
eck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct I also certity 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~rty to perform ne.eded inspections.
X ~ ~ 20:~i{.>{)'77 'fr;Z-/Ol.....
Signature Contractor's License No. ( (late
Permit Valuation "2
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 $ /IS. 2- G,
5-2-0'-.--
I Paid
Date
'is UP
r' - Z. -tJ't--
es Your Building Permit When Approved
I ~e;tt= 9-/7$2-
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.
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
''''-''~
#
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS / 4-399 dL tJt5)5/ .eo ~ f c..-
TYPE OF WORK LJC;l!~
USE OF BUILDING g,eS 41K--
PERMIT NO. C) Z -0 f' 70 DATE ISSUED 5" -- Z --0 '"2-
BUILDER ?'~ 5rJ7?-t' L5L-t/,eJ' PHONE # 7.3& - 9J 1 7
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING 5' b (>>-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING , I ,
I FINAL I 1J.r I ~ I I?/ 02--- I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850