HomeMy WebLinkAboutBuilding 02-1087
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
99- 6044-
/IIHmL'I~
9-3-0Y
1- White File I PERMIT NO
2 Pink City . 07 - I(J'~Z
3. Yellow Applicant {.", _ tJ_
ZONING (office use)
RA;/f 0
12/
LEGAL DESCRIPTION (office use only)
LOT Z. BLOCK Z- ADDITION 1f(j()tJ I,rJS /,,?/))Jt.J/C 4-771-
PID Z5 - /"? 4- -02 I - ()
OWNER
(Name) ~/\IA
(Phone)
Cj5Z. 2~ . 5150
;nD e.E I\J - an (J ^ f\/ OllGtI-I
(Address)
BUILDER
(Name) (YJf}~J<. f:sS
(Contact Name) i LJ. F! /If A
(Address)
(Phone) Cj5,e. zzt:,.. 64 g ~
(Phone)
mOeFA} - ~ooAI'I/{JU6,/-I
TYPE OF WORK
o New Construction
OLower Level Finish
eck
OPorch
ORe-Roofing
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
o Alteration
DUtility Connection
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 prope 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 buildin official can r ke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the p erty t form needed ins ctions.
, .
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
9 z ' ()~J
Date
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 AVlA A;f7;Y) f "t.j ~oL/ $ 138. $G
Uf
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
SITE ADDRESS JLI!2-I! 7/GLIa2u iQ~
TYPE OF WORK DecJC
USE OF BUILDING ~F
PERMIT NO. 0,)- )()C(;7 DATE ISSUED
BUILDER made Ess l fJAOJVa) PHONE # '(7-~ [, -G:, l{ '33
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS7'CTOR DATE
I FOOTING I IVr I V\ -- ((, OL
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I VVV I
DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
L..l ~ )...~ ~ if>
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850