HomeMy WebLinkAboutBuilding Permit 04-0044
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/. Z q ~~
I. White File I PERMIT NO I
2 Pink C;ty . OA_.. 00 LLL.
3. Yellow Applicant t. TT -
ZONING (office use)
,GIS.o
k
KJ,
5E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zS: 042.,. q 0 'f'. 0
OWNER
(Name) TI3 ,A.,
/'1..:::,,., '~./1.
(Phone) ~ 'jJ _Lj'").:J- I >g 7
(Address)
BUILDER,
(Name)~C\l1e S f1t\Jr.-.e.\
(Contact Name) \ \(L~I t:.
(Address) ~ Cz
(Phone) CI>)-"" Lf(,.../"> -'-4 j 7 3
(Phone)
o Lower Level Finish
OAddition
ORe-Roofing
~n
ORe-Siding
TYPE OF WORK
l D M;"
o New Construction
ODeck
o Porch
o Fireplace
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 up the prope to perform needed inspections.
JO~7)hq1
Contractor's License No,
-1- }y-u 0/
Date
x
1-2~-()i
Date
Paid
Date
~,~;r-
# $
# $
$
$
# $
# $
$
$
$ 5.~
I ~;~Ht.
Sewer & Water Permit Fee
I. O(;O.()O
$ ~4-. "75
$
$ .S[)
$
$ +0.0 ()
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size5/8";}";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Building Permit When Approved
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 /5538 1&50 0/1 K. ,eo S. e .
NATURE OF WORK L-OWelL c,EV~ P~7'EK/1-770N
USE OF BUILDING ~S /9//Z-
PERMIT NO. O~ . 00 4--4!- / DATE ISSUED /. 29. 01-
CONTRACTOR cJ71/V/6S n/~L-- PHONE ~ .4/73
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.... I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
. DATE
.{j ...J1~. - 7"~~ ~
............... _ ~ ~rtJ'':i.'b.i- ~"t
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
E
;)~ q -Oc/
t
COVER NO WORK UNTIL ABOVE HAS BEEN SiGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 INsn~"TIONS (95'" 447-PQSO