HomeMy WebLinkAboutBuilding 02-0512
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S~/3~02-
White File I PERMIT NO I
Pink City . CJ2 -- OS/2-
Yellow Applicant .
/524-~
W/f...,OS ,P~L/
ADDRESS ZONING (office use)
~ I r-e
T ,-
t/.o
LEGAL DESCRIPTION (office use only)
LOT /5BLOCK I ADDITION yVlL---O.s 2 ~',.O
PID 25> gZ3~-()15 ~O
OWNER
(Name)
(Phone)
( '152)440' b 20 J
"I ~ -;-)
r\l p. N'~ 'I ANi) t ,.(J\,jI'Q~) bl{COk ~
(Address) 15245 V\J1L.i)<; ?~l<Wt\"'{ N!I\J
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
o Porch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
eck
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST/V ALUE (excluding land) $
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 u on the property ~rfi n~e,~~nspections.
X .;1. I (---<" .~ C;/13/02-
Signature Contractor's License No. Date
t
Permit Valuation
Permit Fee
000.00
~q.
~6_0 I
I . () 0
Park Support Fee
SAC
#
#
Z
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$ //52-
Paid
Date
~2~
- 7-07__
I ~;~rft-- 4u>?5
I
n Approved
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.
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
R BE CONSULllNG ENGINEERS.
; 0 PlANNERS and lAND SUR'JEYORS
~NGINEE8ING
COMPANY. INC.
1000 EAST 146th STREET, BURNS\ULE. MN€SOTA 55337
CERTIFICATE OF SURVEY
Legal Description: LOT 15. BLOCK 1. THE WILDS 2ND ADDITION
SCOTT COUNlY. MINNESOTA.
(Zfjz.'4
(Q73,O
........... .......... .................
WINDWOOD HOMES
PRo.ECT NO. 10038.00
BOOK
PAGE
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. 111/1
-r." '17P.7
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /.5245 WIG-OS F~V
~PEOFWORK p~ /
USE OF BUILDING /ZES /fIR.-
,
PERMIT NO. 02- ~ OS/2- DATE ISSUED G -/3 - 02-
BUILDER $R-<:nJK-S PHONE # ~o -" 2 0 r/-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTO~ 1 O[
I FOOTING I 'jb ~ !> \~ OOt
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL
I 1; ~~ ~e"
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
"