HomeMy WebLinkAboutBuilding 02-0472
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
if AND UTILITY CONNECTION PERMIT
pe IV ..fvltW'e7
Date Rec' d
5 -- 2-'tJ2-
~. ~~~e F~:;y \ PERMIT NO. O~/O I t1~ 1
3 Yellow Applicant . "1' VJ
ZONING (office use)
Pr-
Wooa-
SS"t>7
pus.o
LEGAL DESCRIPTION (office use only)
LOT BLOCK 3 ADDITION
o PIDZS"-~- t>Z- /t'
OWNER-r-:
(Name) 'Ot>t)
(Address) I ~~O
(Phone) 95'2- 1./"17 -52.. 70
-5?> ) 2-
BUILDER II' (I 1\
(Name)~4C.l-' U>1JTb-a1Pb } l~L
(Contact Name) at c.. ('.,e:t't>~
(Address) I ()2'i2.. ~b Ave- ~ 6lWN.ll>
(Phone) !j5z-i>04 -~ B-3
(Phone)~ (p1'L. "80"'2- so63
D f1-121)
TYPE OF WORK
o New Construction
eck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace o Addition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ I () 0 ~
o Misc.
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 s. am a are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;'" up I" <rty t ~""'d "''P'"'''' Be. _ 20/ 5l1/,L/ 5" 57'2- )02-
Signature Contractor's License No. Date
Park Support Fee
SAC
TOTAL DUE
#
#
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
om~ Yom Buitron, ~ ""1"0'''''
- -3-0?-
-U
Date
\ Paid
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 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /(#350 i//C-/v,e4/J CU.eA/C
TYPE OF WORK 0 8 e?-.
USE OF BUILDING ~15S /1/ ~
I
PERMIT NO. O~r-04r;Z- DATE ISSUED
BUILDER t:-.<' (:; CfJfI/7l3I'J ('...77;J 9 PHONE # f;IZ -go Z. - 50&3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
rFOOTING I ~, 16/1/dz I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
[ FRAMING 1 -I I
I ANAL 1 'i/II I 10- I-Oz...- I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850