HomeMy WebLinkAboutBuilding 02-0905
:;- 0 D~ (") ~DDDD "tI 0 > -0
Vl 0 :I: :E c z_
"U 0 0 ~ en "TIZ"TI"TI"TI 0 C ~~
~ <1> 0 0 3: =lzen$!OO z z "
0 0 m mO
> ~ :xl :xl :xl s: m>e CO m " m O"TI
tl :xl :xl " -r~3:Z-l (I)
t"l r m m m z zCz Z (I) :j"tl
r 0 0 en ~ :::!Gl~Gl 9 0:xJ
::... t -I -I > Z
t"l -I -i m 0 - z-
10 ..... ~ > en en o z 0 zO
I 0 -I Z 0"
S; CD -I "TI
00 :xl 0 > 0 :j>
~ tn ~ 0
~ 0 Z 0"
Z -t ~
"TI 0 > 0 t mm
~ 0 > ~
:xJ r Z
r C
~ -t "TI "tI "tI
;... :I: 0 :xl :xl ~
~ m :xl 0 0 000000
Z :xl 0 0
~ m m m m 3:"tIen:E3:"tI
>< z m m mr~>mr
-t c c oe -toe
en
~ C5 z 0 "tI :I:3: m:J:3: "tI 0 ~ (I)
~ (I) =: m "TI!!!:xl:xl:xl!!! m 0 0
~ "tI :J 0 ZZ:I::I:-Z :xJ Z :I:
::! m C1l -I >GlOO Gl 3: -t m
0 ~ 0 r!!~~ ~ =l ?J c
~ ()
-I 0 Z e
~ 6 ;:l. lJl Zee z r
~"tI"tI 9 m
z :-1 m c
~ "TI
~ 0
~
~ J: :xl
m G
~ 0 0
e 0 I"
" <
(I) m 000000 ,
=xl z :xl Gl"TI"TIom fo
Z ~ )>
> >:ii:iiO~ ~~ ....
R-o 0 Gl enmm3:Gl o m
~ < C"tI"tI"tI$! 0 r
> ~>>>c in
~ z >ooz:;;
""'l 0 _mm-l_ ~
::: [11 :xJ"TI:xl r ....
-1-_ r ~I iC
enz z m
-I~ Gl
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File I PERMIT NO ~
Pink City . 02 -oqe
Yellow Applicant _
\:
ADDRESS ZONING (office use)
5;-~
LEGAL DESCRIPTION (office use only)
LOT J 4- BLOCK /
ADDITION
OWNER ,-
(Name) / O~
(Address) SS~S- ~
BUILDER
(Name) :f) ('L-./ T hAD ~ ~
(Contact Name) ~/I~
(Address)
iJl'~ j( ~O~5 ~
~
511
PID
(Phone) Lr& 7- 8''-'0/
; ".,..0-
(Phone)
(Phone)
"-ir
d li-4:/-/5ofr
9'.s'::1-L,I-I?4-~Cl4-/
~ &?~'t.' e...
)J ........
TYPE OF WORK
o New Construction
OLower Level Finish
k
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAlteration
OUtility Connection
OAddition
PROJECT COST IV ALUE (excluding land) $
~c1.?/ ~ "
o Misc.
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 u~~eV'perty t</,erf~JCtiOns. "'1 . C' .. v
X LLIL//l .4~~ .~ tJ f '/ '7' ;t ~ ~ 7- 'j.. 'f-- () ~
"Signature Contractor's License No. Date
Permit Valuation S
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
1- "2Cf-oZ
Date
Park Support Fee # $
SAC # $
Water Meter Size5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ J 38 . 8~
Paid
Date 7-7 \( -02-
I Rec~tNo. q?~7
. By ~
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
{(J[JO~Loo~ (O~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS , )5 S- ~
TYPE OF WORK -VeclC
USE OF BUILDING sF
PERMIT NO. ();).. - 9 () ~. DATE ISSUED (d-
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING ' , 7-0 d-
PLACE NO CONCRETE UNTIL ABO E HAS BEEN SIGNED
I FRAMING I I
I FINAL I ~ I "6- 1,/- O.r1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850