HomeMy WebLinkAboutBuilding 04-0914
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
r.'l.O~
1, White File
2. Pink City
3. Yellow Applicant
~DG6l~~ 01= aeck:.
I PERMIT NO. C>>, oCJ /4-1
ADDRESS
\ ~ \
-,-(l.A ( C
-
6
LEGAL DESCRIPTION (office use only)
ZONING (office use)
~/SD
LOT
BLOCK
ADDITION
PID 25 930. o+S. 0
OWNER ~ r
(Name) t2-td-i /(rtalL ( 0A .J
\~4. ,= ,J /.1 c..-
(Phone) qS"L- 4C(&--oCf K
(Address)
BUILDE~.
(Name) ':?AtV(.Jc?L~
(Contact Name) ""6~; f:l...A.J
(Address) 7c...fD 4
(Pho~f 533 -030-7:
(Pho I L: W - <-ts53
c::.
ORe-Roofing
Avi3
~
t'6 b A--c-c::..
o
TYPE OF WORK
o New Construction
DLower Level Finish
D Fireplace DAddition q~lteration
PROJECT COST IV ALUE (excluding land) ~ ~
DMisc,
ORe-Siding
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
:te~rtytoper~ eededi ctions Z3~Z- q-7'-o~
Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Valuation I (oDf). D-a
Permit Fee $ 100 I 7 ~
Plan Check Fee $ 39.4~
State Surcharge $ I ~t)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~ ~ 9/13/oi
Building Official Date
$
$
$
$
$
$
$
$
$
This is to certify that the request in the above application and accompanying documents is in accordance with the Cily Zoning Ordinance and may proceed as requested. This document
when sig by the Cily Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~ . Jf s;af:;ns,:::r k4HAcAJ 1;
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 DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS / 4-/ ~ 7 sf/rlO y 8617 CI-/ 77Vl / L... Iv' G
.
TYPE OF WORK 0 6 ~
USE OF BUILDING 1265 rt//Z..
,
PERMIT NO. 04-. OCj/4- DATE ISSUED q, q, O~
BUILDER 5AWHoe~6 PHONE# (P1z,.z:z../.4-353
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOJlJ DATE
I FOOTING(capiA..o-Q ~.~ I ~ I '1-304\1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- I I I
I FINAL I L I
FOR ALL INSPECTIONS (952) 447-9850
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