HomeMy WebLinkAboutBuilding 02-0604
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File I PERMIT NO I
2. Pink City 'y>").'-)_(} / 0/ J
3 Yellow Applicant . l../ IJL (0"""
ZONING (office use)
LL5D
59Lfd.-
L
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
OWNER
(Name)
/7;oAA./ C
(Phone) 9-52-Y~6- 673e>
-
St: -
(Address)
BUILDER -t ~
(Name) LOA/G6'PI !Jv-~ ccA.>
(Contact Name) h~ /,tb~1i '/
/
(Address) ~ . -rA 5T s,-".Ic- L ~b
(Phone) 952.-722-a~a.6
(Phone) 6/ ?-, 2 2/ -- S7 6.6
~ ~//.' r5
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
OUtility Connection
o Fireplace
OAlteration
o Misc.
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 upon the pro erty to perform needed ins tions.
r3C- 20/79972-
Contractor's License No,
S -2.9-'02-
Date
x
Permit Valuation
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
-ot..J
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
I ~:~~&J;~;
I ReceBf
By .
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 Of~cL C)rl'o/~ ?L
NATURE OF WORK L L ,c~
USE OF BUILDING sr--
PERMIT NO. {J~- bO <-/ DATE ISSUED s- (}-..q-L&--
CONTRACTOR L-uYVL (3';:)+ nil r<) PHONE 1d:2- -()-,i)./- 39 & ~
I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUiLDING AND INSPECTION
INSPECTOR
DATE
I~
l~ie~B~) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST t=:' ~
COVER NO WORK UN
z,
IL ABOVE HAS BEEN SIGNED
I I
FINALS
~lO~eI~)
BUILDING i1 ;(J q -fG-ol,
ELECTRICAL & ~
PLUMBING V r(l Cl-(~-()L
HEATING Vlt,(7 1- h - ell
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850