HomeMy WebLinkAboutBuilding Permit 03-0176
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2 - 4---C23
White File
Pink City
Yellow Applicant
I PERMIT NO. 03-0/1& I
ZONING (office use)
KISO
3c)[) .. {JuA/rO
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID.
(Address)
~d~~
~500
5~e.fJ
~
_,...._1 f1
6);;) -as/-Ljlf77
_'fnmk
(Name)
~
(8Jfte)
~)
C; Jd- as}- LfLf77
(
~'Name)
~JJ~) CJ 8'0
II
\ ,
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe. Roofing
ORe.Siding
o Lower Level Finish
o Fireplace DAddition OAlteration
PROJECTCOST/VALUE (excJudingland) $ 1500'-
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
subm'tted 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
ente u n propet:ty to erform needed inspections,
aO~d) 156l
License No.
~-LJ-()J
~nm
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
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
This Application Becomes Your Building Permit When Approved
~1~
Building Official
02/ty/t;S
, Date
Paid
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 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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATUI=l~ Or: WOI=lK
USE OF BUILDING
PERMIT NO.
CONTRACTOR
NOTE: THIS IS NOT A PERMI FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
.t{t' ~1- es
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
DO NOT 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