HomeMy WebLinkAboutBuilding 02-0900
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7~ z.3-tJZ-
White File
Pink City
Ye!low Applicant
PERMIT NO.(Jz"OtfOO
ADDRESS
/ti? 9ge WI/..;06eN~.s.J'
77ZrJ / l-
56
LEGAL DESCRIPTION (office use only)
LOT / BLOCK Z- ADDITION wlt..-O~1f2-N6.ss p{}rJLJ.S
ZONING (office use)
,€/SD
OWNER
(Name)
(Phone)
"/2- 723 - fR HI
reo/LJ/
.
p,qVL-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o Porch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
Deck
o Lower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
DUtiIity 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 p~an. I am aware that the bUll. fficial can revoke thIS permIt for just cause Furthermore, I hereby agree that the CIty official or a designee may
enter upon the r perty t ~rfo neede ns~ cnons '-::1 i..... .... J" ""l
X ct,. '- ,c. ~
Signature Contractor's License No. Date
.Bb
~f1Il- 4~S-1
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
#
#
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
our Building Permit When Approved
I Paid ~'&f
Date ...1,' tJZ---
7,23
Date
$
$
$
$
$
$
$
$
$
This is to certify tha e 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 /0998 WIf.,OE-eN/3.SS' 7M/t- S6
TYPE OF WORK L/6C1G
USE OF BUILDING /z&s r7/~
.
PERMIT NO. 6Z-0 900 DATE ISSUED 7- 23.02-
BUILDER F/2()ID~ P~UL- PHONE# ~/2-.7Z3.~f+J
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ . I ~~/.,....."
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
r~ I 6r 1?t16/0i-
)
I FINAL I if/) 18' ~!2G
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952)447-9850