HomeMy WebLinkAboutBuilding 02-1028
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
[3- 2/-0 2-
White File
Pink City
Yellow Applicant
PERMIT NO. 02 - /0 Z-'?J
I [~::lr': ,.no< md "'" "bo_1
I /?.5' h 0 ,8I '1'1 cl L/f I~ ~ +,;" ,
ZONING (office use)
el-SO
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK 3 ADDITION /VI (,O~;v'6SJ rPt/'A/OS
PID2.5-318- 037- 0
__ .R. .
(_j"" ~reJ
(Address)
;::;,. ~ c- h c it- ~
'4 e:rsy"
A~.~1 76-;;" - '-/'-/0 - "!3ee,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
eck
o Lower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
exnter up the property~rform needed inspections.
t7' ~ - J,,6" o::L
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
6- ],,;/.;- 0"2.-
$
$
$
$
$
$
$
$
$
I ~;ce~
ef?-772.-
Paid /.3e.B(P
Date ti- Z l- tJZ-
our Building Permit When Approved
8 -"J./-67
Date
This is to certity 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
-4
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /t05 ro 0 OL-/ /V' 0 L-/T~ ~/ C--
TYPE OF WORK 'oi3<!/C
USE OF BUILDING ~ h//C.-
.
PERMIT NO. 02- 1026 DATE ISSUED 6- ?/-O2-
BUILDER ~ e#ETT6 PHONE # 4--'10 - 4-30?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I '1lJ j q~n-O), ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I I
I FINAL I []y1 I (. J.1J if> I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE