HomeMy WebLinkAboutBuilding 02-1519
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ADDRESS
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
If Clq c;
tori' t<c1
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION ~
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NOO).....
I
;5191
ZONING (office use)
f2 U;D
PID ;15""
parr! C/I~ Des i eI; 0
(Address)
[
Iml~~ IJ L/ () - ~ I~d-~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Misc.
o New Construction
~ower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
o Alteration
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
autho~nt for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed In accordance With
subiitted plaris" 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
enW up~n thejroperty to perD m ed Ins~~ct!~ns ~ ,
! -n.U 1', - . - I ( ;;>1 (j;r
X c; Contractor's License No. , am ...
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
. a:>
O. -
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other E:.~L-1 (~44-..... n~". . $ I, &0
(IV
TOTAL DUE $ lo4.z5
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
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J L( 9'/ 9 ~o 1/'; PeL
NATURE OF WORK L '-'
USE OF BUILDING S ~
PERMIT NO. - -( OAT): ISSUED / / -,d- 1-
CONTRACTOR 'l:rr/(( ',rO PHONE Y/f6-(;':?d-7
NOTE: THIS IS NOT A PERMIT F ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
r- I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-{&
.,. r(;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ,
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(--1-()"f
- 6 L1
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850