HomeMy WebLinkAboutBuilding 02-0937
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
ADDRESS
L 32/6 W()()D
~ ~i~i~e ~~~y I PERMIT NO~ ') - q 3Z I
3. Yellow Applicant _ U ~ I- _ ,
ou~ DelVe
NN
ZONING (office use)
PUn
LEGAL DESCRIPTION (office use only)
LOT/4BLOCK / ADDITION me WILDS 3/U/
OWNER
(Name)
:o,IJ
PID
/4-0
!t1 ien c'A el ~t.illra.- Conn ell y
3d / tf? 0ccd ck ,. I\J uJ
(Address)
(Phone) G>/:J - g3Cf- ~31??
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
eck
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility 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 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
:'a "'OQJ]: paf"", n~d dn"'';m ':J-/CtJloo...-
Contractor's Lice.lse No. , Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Your Building Permit When Approved
7'SI-O~
Date
Park Support Fee # $
~C # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
~cr $
TOTAL DUE $ a
I Paid 13F J)b /1 Receipt No._'-1J:5 ~1
Date --!?,]~O;Y. By ~
is 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
'n 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
1.
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
Planning Director
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 8;;2./f.Y Wood ducIC Dr-
TYPE OF WORK [)Pc rc
USE OF BUILDING 5 F-
PERMIT NO. C>;:}- q 31 DATE ISSUED ~... Til/-Dr
BUILDER Jl}j, die{ P / (' tJ /1//&'r ( I'f. PHONE # hI:( R:-5'1 Pi 7f?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I 4- I ~~p i!/ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING 'JS&.~ ill\skllQ ~<6...:t R 1/ 1 8/~s/;i' I
I FINAL I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850