HomeMy WebLinkAboutBuilding 05-0415
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTmCATE OF ZONING COMPLIANCE..
AND UTILITY CONNECTION PERMIT
(.....- --........:
!ADDRES.
522"3 ~. .-ton
Date Rec'd
5/0.05
~. =- ~ II PERMIT NO. 05 04-/5/
) Yellow AppIiconl _ .
CYt - <;. c
ZONING (oftic:oeUR)
It:/...[ 0
LEGAL DESClUPTION (office use only)
LOT .7BLOCK -3 ADDmON /V/DOc7l4L/6J.J' ~t7/VDS'
PID 25.3/8.042.0
OWNER
(Name) f\m'j c4 h-rd ~U-,\YQL\
(Addras) 522 '3 ~ LY\!. hn CY"\. \=11 OY
BUILDER A A \ I
(Company Name) / v \ \ C ~ <.,
(Contact Name) - rom m ~ ~ o~s
(Address)
(Phone) Cot ~ ~ 44") 4- S, '2:5
l?-\LQ . \n SS~ -; ~
,.--
.( -t'_v l~ ~e .J
TYPE OF won 0 New Construction Dbrl OPon:h ORe-Roofing ORe-Sidius OLower Level FiDlsh 0 Fil'qllace
OAddition OAltera&m- UOUtility Connection ~isc. ~ ji t,'2l.C (' C. I. . u...,j . I , 1----: ~ _
e ' y. 2.-0' --- . C)C)
CODE: fi2'h.R.C. oI.B.C. PROJECfCOST/VALUE S 33CO.
Type ofFODStnIctiOD: I U m IV v A B (excluding land)
Occupancy Group: A B E FBI M R 5 U
DiYiliOD: 1 Z 3 4 5
. fonnatioa 011 this application whicb is 10 the bat of my Imowlcdee lJUe and comet. I also certifY lUll am the owner (w alllhonzrd apt lOr the
. will t'OIIfonn 10 aU existillllfale and local laws and will JI[OCftd in iICalIdana: with submitted plans. I am a~ that the buildina
UR. Fw1hcnnore.1 hereby IIIIft that the cill' oIIiciaI or a cIesipcr may enter upon the propaty 10 pn1bnn needed IIISp<<tions.
Permit Valuation
Pennit Fee S
Plan Check Fee S
StateSun:harRe S
Penalty S
Plumbing Pennit Fee S
Mechanical Pennit Fee S
Sewer &; Water Pennit Fee S
Gas Fireplace Permit Fee S
Contrad:or's LiceDse No.
Dare
Park Support Fee # S
SAC 1# S
Water Meter Size 5/8"; I"; $
Pressure Reducer $
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S 10. '2- r
I Paid
Date
c/o, 2- I
S f () (' :;-
,}.... tNo. /'9/90
By //a --<~
nus is 10 catiIY thaI the requesl in the above application and aa:ompanyinl docu_ is in ~ with the City Zonina Ordinana and may proceed as~. This documenl
when siprd by the Cill' Planner COIISIitutn a lempot'aJy Certillcale of Zoninl comp~ and aUows COIISInICIion 10 COIlllllenCe. IIelin occupancy. a CcrtiIicale of Occupancy must be
issued
PImmin, Dire<:lor
Date ~.J <'oadltioaI; if lIlY
24 hoar aotll~e lor an laspectloRl (952) "7-98...1811 (951) "7-4245
16200 Eagle Creek Avenue Prior Lake, MN .5.5372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 52 Z3 Le')( ( tV q 70rJ (!;:1.
TYPE OF WORK f)e:l!/C
USE OF BUILDING ~J /;;;-/,e..,
PERMIT NO. Os. 0 f-I )" DATE ISSUED 5'<< I U. os-
BUILDER /'1U~ PHONE # 447. 4s.-z J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FINAL
If) I t2;)z~lp~
v y
FOR ALL INSPECTIONS (952) 447-9850
)