HomeMy WebLinkAboutBuilding Permit 03-0486
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
144& :2
I. White File
2 Pink City
3. Vellow Applicant
Date Rec' d
ij_ ex--9-6 S
PERMIT NO.a 3 -'It ~
C-a ~f-)ecy:JL '\ ~
LEGAL DESCRIPTION (office use only)
LOT/5;LOCK ( ADDITION ~OW
OWNER (
(Name) \. y,,( ~ (""-1./1
(Address) 1(/<-1& 2
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
/5elliS'..oV\
eCI " t ) ~ cAc-t.1 ~
- J
o New Construction
~eck
o Fireplace
. <'
L) 1M lY
ZONING (office use)
R~
PIDe%" ,. ~ ~ q- () /5.{.)
(Phone) //1 ,"l -k)c/ ( /J /'1 C I
(Phone)
(Phone)
OPorch
ORe-Roofing
o Alteration
ORe-Siding
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
~~:~to~~nspections. ~! -;2 C)-C) ')
- / .r ~ature . Contractor's License No. Date
/
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Lower Level Finish
PROJECT COST IV ALUE (excluding land) $
OAddition
$
$
$
$
$
$
$
$
:2J~O PJl
. ('J,)..S-
'1.
t..-fS-OI
I ~()
This.llp~a~ ,:omes Your Building Permit When Approved
I~~ 4~50-tJ3
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
.--../
1/~.1 cr-p
. ~ - J- ~
./
#
#
#
#
$
$
$
$
$
$
$
$
$
lIS- ~
ReceiptNo.t/t/_~O J
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
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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
'<II
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS -II(!!~ 9~ fi~ WA'1
TYPE OF WORK D~c./t. TT
USE OF BUILDING -.-SF
PERMIT N() 03- 4l"-. DATE ISSUED #-~ ~
BUILDER'.J~U ~D"; PHONE#~"7D'.~/'ft
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I ~ I I~ II ~:13
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING I I (~WD3
~ FINAL
~
--
~
S-/~!e3
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850