HomeMy WebLinkAboutBuilding 02-0474
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
..5-3-02-
55/0
eR- 0 -SS/J N O,e,q
LEGAL DESCRIPTION (office use only)
~i~i~e ~::y I PERMIT NO. 07 _O/L.-1A _/
Yellow Applicant . V -,- Iq-' ,
5,
ZONING (office use)
sE
puo
LOT 9 BLOCK I ADDITION ~I?--O//II4,- ~/O~G
2/11'0
PID 25-3
-0
OWNER
(N ame)
4-./-7 - 87Z(P
reNL~-'1S0N ,:- EN L -A 5 0 rJ
(Address)
,5'.4/"16
(Phone)
BUILDER, _, ,
(Name) I r I c. hcA... rrJ
(Contact Name)
(Address)
Fe c Iei' ,/" /"'if
.-1 ] __ '~ "
I --'J " -I' ,.,/,," tJ
<: ,~'j'...-l-ti-f ,".i5 ' /~
f?
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OPorch
ORe-Siding
o Lower Level Finish
o Misc.
eck
ORe-Roofing
o Fireplace
OAddition
OAlteration
OUtiIity Connection
PROJECT COST IV ALUE (excluding land) $
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 u on the property; perform needed inspectiqns.
::'l ' " /:).... ,
X.", V I :Z4~y
Signature Contractor's License No. Date
Permit Valuation 1{300.00
Permit Fee $ 1-7.90
Plan Check Fee $ J/./5
State Surcharge $ . &S--
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
b-3-o~
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; l"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7q~g
/
Paid
Date
]?~ ~-~ 2
I ~~c~ 4'17~
I
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 55/ () C/COSS/1IVD/<!..A S; T S C
TYPE OF WORK 06CK-
USE OF BUILDING ;::&5 /f//L-
,
PERMITND. {)2-04-74- DATE ISSUED 5-3-02-
BUILDER F61v'LASo/IJ PHONE # 44-7 - f37Uo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~R DATE
I FOOTING I I 5/~/!a7-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J~ I I
I FINAL I 4- I Co he(~ z-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850