HomeMy WebLinkAboutBuilding 02-1151
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CITY OF PRIOR LAKE BlJILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(j-J2--[)L
01-/ S' 8~
/7332
.L:Jct;lzr/6'{ ~
Date Rec' d
I White File 1 PERMIT NO. /)-:7 -/'/c--/
2 Pink City V~. J
3_ Yel/ow Applicant
/J? ,-'
L/L-IVc
J'C
ZONING (office use)
,e/
LEGAL DESCRIPTION (office use only)
LOT35'"'BLOCK I ADDITION oEEJf!.J)6LD .J1v'!)
OWNER
(Name)
PIDZ/S-- 3'/2-- C ?j- ()
f'ILf\,,-)
Il'~3L
S Cf-K,lc E: ,....12,[:, R-()
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(Address)
(Phone) ~'S (, LLb GCIL
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c..:...,.:..
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Mise.
~Deck
o Fireplace
o Porch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtiIity Connection
PROJECT COST IV ALUE (excluding land) $
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 upon the property to perform needed in~pections1) I
x"\ .~V- ,~~ (:\ ',L/(."2.-
Si Contractor's License No. Date
Permit Valuation !sO(J" {IO
Permit Fee $ 47 " C/o
Plan Check Fee $ ? 1.1.3
...>
State Surcharge $ . (rS
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
oved
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 $ 79 (? f?
9.uB
d-/2 -C2-
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.
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,/7_552- Ot;c7c..??~, LO O/~
TYPE OF WORK 0 t:~fC
USE OF BUILDING /C~.J Pi//<?-
PERMIT NO. () 2 - 11~1 DATE ISSUED c?~ I? _ () ?-
BUILDER su-lUCt?Ne~ PHONE# 2Z&-&C,IL.-
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING DONE @ /?L[) q C /fa /7JtJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ ] [ I
INSPECTOR
DATE
, FINAL
I ~ I 10 -~':j-cJj
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850