HomeMy WebLinkAboutBuilding 01-0525
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/555/
5 -..30-0/
L White File I PERMIT NO
2. Pink City . ()/ _ () 5z.s-
J Yellow Applicant .
]
8etJtJ/:::.s/ DE: LA-Nt5 IVw
1e2SD
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT 1/ BLOCK I ADDITION GL A!WA"7l5IC.- 3~
(Name~~\ \ Sa (\ La. ~b e-,-\-
"dress) 55'5 ercoJ( .$ide L 4h c: Iv W
~ne
- 01/-0
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
Deck OPorch
S'i7l11i?5
o Fireplace OAddition
ORe-Roofing
ORe-Siding
OAlteration
OUtility 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 uIlOn the p~perty t erform needed inspections.
x
Permit Valuation 5-0 o. 0 0
Permit Fee $ 23.SV
Plan Check Fee $ IS. 2... 7
State Surcharge $ " ~()
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 31. 2- 7
I Paid
Date
39.2-7
r 3d - (j I
I~o
~G.-S-(.
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
'"
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /555 / .8eoo,t::S/o6 L;V A
TYPE OF WORK P6{!./C: 5V1/gS
USE OF BUILDING .e85 Ak
PERMIT NO. 0/.. 0525 ' DATE ISSUED S- - 30. 0/
BUILDER LArtL?~ /IL-L--!SOl'-l PHONE #
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING r I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I ]
I FINAL I I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE