HomeMy WebLinkAboutBuilding 02-0829
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7- S-Oz-
I. White File
2. Pink City
3. YeHow Applicant
I PERMIT NO.a - 0 [3 Z 9'
,
ZONING (office use)
PVD
LEGAL DESCRIPTION (office use only)
LOT 'I BLOCK Z ADDITION ,~
PID 2.5- ZI ~- 020-
7< ~- C;
,
iVVvr/
(Phone) 9S2-l/.'l-S""-~~~
rl-l VL ~ ,/11)V. SS-371--
(Phone) ~ ff:2 -<?'7 7 - ~ r" 7
(Phone0'.e (/6/,2 -gO 3 - .:17 2-3
5"30 L
BUlLDER/VV1 ~ t ~
(Name) , III/tx. (/ ..'1,\ 5 YJv ,....... c...
(Contact Name)' Ved - fA)~~Sr
(Address) /738"b ~c/L IJr.<- ~~ I
f}'lw
""'--
TYPE OF WORK
o New Construction
o Porch
ORe-Roofing
OAlteration
eck
OLower Level Finish
o Fireplace
DAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
e-Siding
OUtility Connection
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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
:~"Jl,~ ?d2'2-S33J" . 7- ')-0.2-
Slgnatu e Contractor's License No. Date
Park Support Fee
#
$
$
$
$
$
$
$
$
z.. $ 2.
1~?;(.':~ I ~;eiEt~t!Y Jb I
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
#
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
s Your Building Permit When Approved
I Paid
Date
/-8 -OL-
Date
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 -illl\S- C"J.at- WooeR G-.
TYPE OF WORK _O-'2ck:
USE OF BUILDING S C::-f)
PERMIT NO. 02 -o'b2~ DATE ISSUED 7 - B --OL- .
BUILDER l:1a)<"o~ C PHONE # {'(2'~?-B25
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
, FOOTING I h. I 7// f/r;;;.;
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
FlJ-lAL - "'St~l~
I FINAL V'-~C~ t3< I +- I qJ (;1--fA:3
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850