HomeMy WebLinkAboutBuilding 02-0857
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7- /2-02-
1#-734-
/-1/JPt6
LEGAL DESCRIPTION (office use only)
Date Rec' d
] White File [ PERMIT NO I
2 Pink City '0 '/ dO ~ 52
3, Yellow Applicant , (.-- [) ~
77lA-- s 6-
ZONING (office use)
Jelsn
LOTIO BLOCK I ADDITION Oh~NO ~
PID'26 - /38 - 01 -()
4Pr
OWNER
(Name)
(Address)
(Phone)
/'
~Nam~~fi/' u,,~r!l
{_esS) 00/ 0 ~ : '" 4- v.-(
TYPE OF WORK
o New Construction
o Lower Level Finish
o Mise.
,;);!~) r
"",,)~i:r!T~~~
(Phone)
e
t /1.
72.]-]'4r
~ rt f-'-
S-S'" ] ( L
f' '. ~ -
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
OUtility Connection
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
s , mitted 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
e upon e property to perform needed inspections.
L ()^ (
~~. OD
$ 83. rz.s-
$ 5(( w II
$ L . S-O
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fire lace Permit Fee
our Building Permit When Approved
/ -/2-0
Date
;20/ euf.&, I {
Contractor's License No.
7-/ 2 - <.)"1..
,i'~~'l'''~l)atr '.. .;
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 $ JJf} 6(P
Paid
Date
/J~. 8&
..-/1, --o-z..,....--
I Recei~ <l/z- ~I ~
By I
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
-
/4-734- n/1~C-E "7Jc,4It- Sf:;:,
06eK-
,e&S ////2-
,
PERMIT NO. 02... tJ&S7 DATE ISSUED 7--/2--02-
BUILDER S77l#O~ CJdA/Sr. PHONE # (012. 72-3 .39()4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~R DATE
I FOOTING I. I !t'lb"h; v
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I ~ I 'b~
I FINAL I tJW1 I t--~I--(f)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850