HomeMy WebLinkAboutBuilding Permit 03-0177
0 0 C') 000000 "tJ 0 >- -0
z_
0 ~ 0 :I: ~ C ~~
en"TIz"TI"TI"TI 0 c
ts 0 ~ 3: ::jzen~OO z z ;;0
;u ;u m>c CO m m m mO
~ ;u " 3: _r~3:Z-I ;:0 en ~"TI
h'l m m Z -0- z en
0 en en -I~>~ 9 -"tJ
~ t > z 0;:0
-I "'D - -I z-
h'l > -I -f m 0 - zO
l<::l ..... en o Z 0
I 0 en 0;:0
S CD -I "TI -I Z
co > 0 ::!>
~ (1l 0 0
0 Z -I Z 0"
"TI > 0 mm
~ 0 Z ;:0
;:0 r :<
r 0
~ -I "TI "'D "'D
~ :I: 0 ;:0 ;:0
~ m ;u 0 0 000000
Z ::c 0 0
~ m m m m 3:"'Den~3:"tJ
>< m m
-I Z 0 0 mr~>mr
en OC -IOC
~ C5 Z 0 "tJ :1:3: m:l:3: "tJ en
~ en ~ m "TI!!:!::C;:O;:o!!:! m 0
~ "tJ :J 0 ZZ:I::I:-Z ;:0 :I:
::! m III -I >(;)00 (;) ~ m
0 :::t 0 C
~ 0 r"TIOO ;:0 ::j
-I 0 Z -"" - C
(5 ;a OJ zcc Z r
Z :-1 m ~"'D"'D 9 m
C N "TI C
~ "" 0
:I: ::c
m
~ 0 0 v.J
C 0 ~
;:0
en < 000000
m
:i! z ;u (;)"TI"TIom
> z >:ii:ii0~ -...)
Ro 0 (;) ~mm~(;)
s:: < _"tJ"tJ"tJ~ V
> ~~~~o
~ Z
0 >ooz:;;
""l !T1 _mm-l_
:::: ::C"TI;:O r ~
-1-- r i
enz z m
-I~ (;)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File I PERMIT NO
2 Pink City .0-..'2 .. ,'...., 1
3. Yellow Applicant .~ \ _
ZONING (office use)
.Sk VL-ftJE A-tJE "vW
PrJC.~ L4/Ge
#1JJ
~S3)L
......'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ar~i d/<y R. Ol~',)N
(Address)
(Phone) q S'L- gl s'"' - 2 7 ~,?
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Lower Level Finish
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
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
t '--e~r upon the property to perform needed inspections.
I{ X . ~1f (;;L tli-
. \ J Signature
-..../
Permit Valuation
2 - I S' - o?
Contractor's License No.
Date
$
$
$
$
$
$
$
$
Park Support Fee
#
TOTAL DUE
~'.'Z.
I Recei1.tNO' ll~' 19'?f"
B Y f<:L,.
$
$
$
$
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
I ~~~1J J~~~ ~
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 5~
TYPE OF WORK "-
USE OF BUILDING ~C;r2~ S-~> /
PERMIT NO. 03 - /77 DATE ISSUED 2-- io 3
BUILDER 1StA\:) OUSa0 PHONE # 83~-z.. "1f:{3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT Ct.ll,. '1r;t.- (/57- JC/77
DEPARTMENT OF
BUILDING AND INSPECTION
Vb ;1! iJ.
INSPECTOR
DATE
ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"