HomeMy WebLinkAboutBuilding 02-0513
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1
,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-5-/">- 02-
~5~1
/It! n /'1/ /\I C9 t? IIG--{}
I. White File I PERMIT NO
2 Pink City . 0 2- - 0.5 I 2..
3 Yellnw Applicant J
/724/ L-
ZONING (office use)
ej
LEGAL DESCRIPTION (office use only)
LOT 6 BLOCK 2- ADDITION KJV (}/5 flIC(/ .3 leu;>
OWNER
(Name)
-fC
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
o Lower Level Finish
pm 2-S -349 - {)II~ 0
(Phone)
7~~ - rOJ' 08&'0
(Phone)
(Phone)
OPorch
ORe-Roofing
ORe-Siding
PROJECT COST/VALUE (excluding land) $
o Fireplace
OAddition
OAlteration
OUtility Connection
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 aU construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that ~e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ~~PI'erty to ~~eded inspec~~~. ,-. . ,.
X.. ../.. . '- '. I j (fI/1Y 0 ...L
re Contractor's License No. Date
Permit Valuation I
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
~1?'-07.-
Date
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 $ 81'fj5
Paid
Date
?;<j gr
>- / 5 ~ cJ-z.----
I ~~;ff-q~{)27
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 454-/ ;/l//"7fV1/(J5, gr/ZV ~
TYPE OF WORK D EX4C-
USE OF BUILDING IZ-CJ #/ e-
/
PERMIT NO. ()Z -0573 DATE ISSUED 5-/5 -6 Z--
BUILDER ?E'~R-r?EY6P _ PHONE # 1-0 z, /o~J?J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP~ DATE
I FOOTING S~ Fo~ ~\u~ ~ r I S/cld~r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I ~ I ti>1.u'f"-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850