HomeMy WebLinkAboutBuilding 02-0834
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7 -t'- ~
I. White File
2 Pink City
3, Yellow Applicant
I PERMIT NO. O~- 1f:3 41
L,/o90- Ea~i--<- {] (2/"YG,
ZONING (office use)
ISD
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ~ ADDITION
PID;-(S - ~3 t:,-- Od-I
OWNER
(Name) 80(1,
(Phone) 9 IT Yv 7 '32Y2.
(Address)
'V
f..L ..
BUILDEIL..-,
(N ame) - / htJ;c,A1
(Contact Name)
(Address) '3 79/7
~~n,... ~Y14J--
(Phone) (-Il
(Phone)
9'1 ~- ~ 197
~/j&~ ~t-
f.t.4
TYPE OF WORK 0 New Construction ODeck o Porch " ORe-Roofing
';'\ ~G,.,'" H \ G (~ LEe') 5 TIf","N 1 0. c.
At" l' IL..vVJ) u~.: I-.J(; OL~wer Level FinisI{' 0 Fireplace OAddition OAlteration
o MiSc.7?e Jetcefutl N ~R a, PROJECT COST/VALUE (excluding land) $
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
:nter u~erty to perform needed inspections. ~ 0 '3 S<s 0 '1
~ignature Contractor's License No.
Date
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
t;o
2- .C:;O
(S.LI
o
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ~r.L 1
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
7-1C}~d~
Date
I Paid
Date
~q- ~ '7
I tJ "0 er--
I ~;e;EV 9'1 I
ur Building Permit When Approved
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. ifany
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 1..;0 90 ~/P(-,. C/o, l/lC2--'
TYPE OF WORK Df'~cY ,'/1./4 c( 120 ;)/"Ilr
USE OF BUILDING Sr- (
PERMIT NO. OJ.. - ? ~ ~ DATE ISSUED "7 - 10 - ~-:)
BUILDER c-QJ/N4\9IJuYJlf'SdlL ()IY}(,~- PHONE # 0(~- gr;,,7~:3 7V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
--- I I
I FINAL
I f1;VJ I 1. ?-~_o~
Call between 8:00 and 9:00 A.M. 'forf~1 inspections
FOR ALL INSPECTIONS (952) 447-9850