HomeMy WebLinkAboutBuilding 02-0830
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
7-3 -() 2-
1 White File
2 Pink City
3. Y cllow Applicant
I PERMIT NO. Oz,oe30 I
ZONING (office use)
/
LEGAL DESCRIPTION (office l!se only)
:39 I ~r;~/d 2r-o d
LOT BLOCK ADDITION
PID2.5-J7Z - (J.:!.q- 0
OWNER
(Name)
(Address)
(Phone)
BUILDER, ,I J ___
(Name) I.). R l--tlrrtr.., .J-.... c: - m,./
(Contact Name) acl/It 0/1..
(Address) G9otYr;o I(~hb/'lda U..//-, sA: /t't1
TYPE OF WORK
o New Construction
ftLower Level Finish
o Misc.
LLler, /k
f
(Phone)
(Phone)
/ItA/' 5321 Yy-'
7'.5;2-7'/S' 7,!/r,
ODeck
ORe-Roofing
ORe-Siding
OPorch
o Fireplace
OAlteration
DUtility Connection
DAddition
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
~teru~rm;]~zctions. ~oc:JiJ.5I:.5-7 7-2-0;2
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ oro
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
7 -2J - 0'2---
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 $ lit;.. z...5
Paid
Date
1/~!1f }1CeiPtNo t;,~
t '() __ _ '{J;r- 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
PR I 0 R LA KE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /'734;;<. [)~cQ 16'r
NATURE OF WORK L - L .
USE OF BUILDING SF
PERMIT NO. q 7i 0630 DATE ISSUED
CONTRACTOR l f/-~ PHONE9f5-7~1 ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW.
THE PERMIT IS BY SEPARATE DOCUMENT
---- I I
~I
PLACE :- CONCRET NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
------------~-
~
~ -----
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
7- (7-0c3--
- , c?-oc?-
r---:= - -... .
BUILDING J!ft /0- I~- d--
ELECTRICAL
PLUMBING
HEATING
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.
FOR ALL INSPECTIONS (952) 447-9850