HomeMy WebLinkAboutBuilding 02-0856
:;- 0 0 ~ (') D~DDDD "tl 0 > -0
CI> 0 :J: ~ 0 Z_
"0 0 0 en'Tlz'Tl'Tl'Tl 0 C ~~
("l ro 0 0 s: ::;zen~OO Z Z "
0 n- O m mO
0 > 0 ;;0 ;;0 ;;0 s: ~>C3:~S m " m 0'Tl
t:I ~ ;;0 ;;0 " en
~ r m m m Zr~-Cz Z en ::!"tl
r 0 0 en en -f~>Gl p 0;;0
~ t -f -f > Z "'tl - -f z-
~ ~ > -f -i m 0 - zO
I\:l ..., en en o Z 0
I 0 0 -f Z 0"
~ cD -f 'Tl
00 ;;0 0 > O~ ::!~
~ <1l r. 0
~ 0 Z -f z~ W 0"
'Tl ~ 0 > 0 ~ mm
~ 0 > Z ;;0 ~
" r C :<
r
~ -f IX::I 'Tl " "tl ~
~ :J: , 0 ;;0 ;;0
~ m ~ ;;0 0 0 000000 '"
~ Z ;;0 0 0
m m m 3:"en~3:"
g >< !!! m m mrm>mr
-f Z 0 0 OC~-fOC
en ~
~ CS z 0 " :J:3: m:J:3: "tl 0 en
en ~ m 'Tl~;;o;;o;;o~ m 0 0
~ " ::l 0 -z:J::J:-z " Z -, :J:
::! ~ m ro -f ~GlOO Gl 3: -f ~ m
~
~ 0 0 0 r'TlOO ;;0 ::; ?O ~ 0
~ -f 0 Z -"" - ~ C
(5 ~ 1XI ZCC Z r
~"'tl" 0 m
Z m 0
0 'Tl
~ N 0
"..
:J: ;;0
m
f;j 0 0
C 0 )J g
;t..: ;;0 <
t"- en m 000000
::J z ;;0 Gl'Tl'TlOm 0
Z )>
> >;o;oO~ IA ...
Ro G) ~mm3:G) m
C ,
~ < _"tl"tl"tl~
> ~~~~C c--..,
~ Z >ooz:;;
""i 0 _mm-f_
~ !T1 ;;o'Tl;o r ...
-f-- r i
enz z m
-f~ G>
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'1- /~'Ol-
~. ~i~i~e ~::y I PERMIT NO. 07 ~o (Jet", I
3. Yellow Applicant V UCll{/
ADDRESS
ZONING (office use)
lelSO
3 </7t?
tll/(r.,OW ffm{l~
~/t--
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
let-~ #:1]
PID Z5-IO~- 6/5-0
OWNER
(Name) ~~ D'r' J-rIlE
(Address)
(Phone) 9SZ. 447- - /9<:18
~ (;/l- - ZZ//- 3727
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
eck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
o Addition
o Alteration
DUtility Connection
o Misc.
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
enter upon~"r~)'erf~spectJ.ons.
X ~ 7-/;(-OZ
Signature Contractor's License No. Date
Permit Fee
$
$
$
$
$
$
$
$
aoo . c:t/
~ .IS-
4t ' Of
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Towe'r Fee # $
Builder's Deposit $
Other $
TOTAL DUE $//JO.OC;
,/
Permit Valuation
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Paid
Date
/os. () &J
7 -/'V' o-Z--
I ~~i!-5//
7-(2-(:)7-
Date
This is to certify that Ihe requesl in the above applicalion 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 3+7~ WI/-L-OW #o:leH ~/~
TYPE OF WORK .o6Y-
USE OF BUILDING ~s k//Z-
PERMIT NO. 02--0 r570 DATE ISSUED 7-- f 2--c/Z___-
BUILDER P'IS/HC PHONE # &/2-. ??/. 37:L?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSP~OR DATE
I FOOTING I /1JA& I I},/ t-d)..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I /IV'{ I S:!!~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850