HomeMy WebLinkAboutBuilding 02-1436
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
Date Rec' d
1. White File
2_ Pink City
3_ Yellow Applicant
IO-~8'-O~
I PERMIT NO. OZ ~ 14- 3 ~i I
ZONING (office use)
"k:1 Sf)
.l7tJ ILl ~j2at./k~~ ~
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK ..:;- ADDITION
PIDa~ ;3 7!)- 0 ~5~
OWNER
(Name)
(Address)
(Phone)
~J m(f/(
~lIMkName)
(/ /'
(. )')
,i6i~)
1L(1l{/
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Mise,
~i1e) t'ji)2 -l2~-, &Lf~ 5
~e)
('::, t IZ
,L{ N
5"527 ).--
Deck
DPorch
ORe-Siding
ORe-Roofing
OAddition
DAlteration
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
enter upon the property to perform needed inspections,
X W1/lI11JI ~/, 1~
Permit Valuation ~_(XX) 02
Permit Fee $ ~3;Ar
Plan Check Fee $ S1.4,/(
State Surcharge $ J, .ro
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ecomes Your Building Permit When Approved
{ (J - }..!6 - 01-
Building Official
Date
/ C .- ~ ~ -C' -t-
." ';
~'''.. .~.
"S\,!~dOr's -License No,
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 $ 13rr. ~~
Paid
Date
I-;~"!i~ '-
I ~~o pu.'1
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
~~ue~.r;e~ by the lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
/ t/4J"'- (V-I-)-- OL
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 /70/[( Wi IJ""l1rSS r>.
TYPE OF WORK Dt'-- Ie
USE OF BUILDING <),F 0
PERMIT NO. DATE ISSUED IO-L'ir-02....
BUILDER thadL r:ss q~) - A2-G - ~4? 3-
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 tIJ;Y7 I 1/- (- DL.-.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
, FRAMING 6eFo"t D~,-k"1i) t S il'l.d"II(~1 1M' I If, 1:3- 02-
I FINAL ~ I {r-HJ-oJ....
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850