HomeMy WebLinkAboutBuilding 02-1060
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f>- Z7-02-
11bLP4
Vvdd~Vh-e.~~ ,ytltl
~i~i~e ~:~y I PERMIT NO.O? -IO/~O I
Yellow Applicant _ (., _ ~ ,
Sc
ZONING (office use)
~/SO
LEGAL DESCRIPTION (office use only)
,.
LOT 4- BLOCK 5 ADDITION
.peJ::::,-;er::/60
PID Z5-37t:J - o.sz:;-O
OWNER
(Name) g\.--l/,l h
l'1b(P4
G.--l ~ t'-J
\Iv i l tAt... Vl(.~"
(Address)
(Phone) 9S2..- 441- 2BeiP
BUILDER
(Name)
(Contact Name)
~vrht: V r_bY\ S.-\-vut41 iSV)
f!:,.(). Y-bV'1
tSl.(...\.-
RiU
(Address) I 44 t>b
It!.
(Phone) CJ~2- 440 - ,"'~D
(Phone)
TYPE OF WORK
u ~<; ~ () Iu>
o New Construction
OLower Level Finish
o Misc.
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
l..,"1t>D
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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~on the property to perfor~needed inspections.
X ~ ~\:'_ 2.bZ)LPlIO B/ZlP }OL.-
Signatur Contractor's License 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 $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ... ,.....~ fJ. 7.J; . cfl/" $ ( 3 8. g b
I Paid
Date
~~.~~
I ~;71~l
79p.-
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 constmction 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 /'70tP4- WIt-ODe.N6SS 77CA/L-
TYPE OF WORK j) 6C1:::-
USE OF BUILDING /Z0 /l//<-
,
PERMIT NO. tJ2- - /Ot? 0 DATE ISSUED 8 . 27 - () 2-
BUILDER FRAJ/\.I77~ PHONE # 4-40 _ 7ZS-0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOt;) DATE
I FOOTING I J r&- I 1-'(-tJ L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
, FINAL
I ~ I
Call between 8:00 and 9:00 A. ~ or all inspections
Q-C)~o~
FOR ALL INSPECTIONS (952) 447-9850