HomeMy WebLinkAboutBuilding 02-1172
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f1-/7~O Z-
I. White File I PERMIT NO
2. Pink City . 0 7 ,,{ I 7 "7
3. Yellow Applicant 1/ t.-'
ZONING (office use)
SE
Lo.. ke.-
SS3-7d-.-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 9 i A I ~ i'
(Name) ~~e1\ ~. fYI\.,' .0 e: l
(Address) oJ=))~
(Phone)
95J - 441- 11,:r7
t;J!i!U" - -= -~ 5: 'f4:
r '-, *
BUILDER
(Name) ,y-lt
(Phone)
(Phone)
(Contact Name)
(Address)
OLower Level Finish
~Deck
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
DAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
Contractor's License No.
Date
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
.0
lit.{ . eJS-
2..f . l5
o
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ;; L/. ~O
,
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Receipt No. +J~~
By ~.
7 -( 7 '02--
I Paid \. 1. (po,
. Date C{ rIB /o-r..-.
our Building Permit When Approved
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may ptOceed 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
SITEADDRESS ~\'I'~p wC)~ Q~.
TYPE OF WORK ~l~
USE OF BUILDING ~~
PERMIT NO. 0 ~~ 117 Z-- DATE ISSUED q- (7-tTZ-
BUILDER ~~.p~. PHONE # 952 -4'f7-ttl)
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 ~f 17-20
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850