HomeMy WebLinkAboutBuilding 02-0792
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7- / -tJ z-
ADDRESS
~i~i~e ~:~y I PERMIT NO. /17 _Or7~'7 I
Yellow Applicant L/v ~ '7 f:::::t
ZONING (office use)
4590 /!t//'-7/Yl/JV66//GO '~/L/
E-/
LEGAL DESCRIPTION (office use only)
LOT;3 BLOCK :s ADDITION ,I::.N 0$ HI tA..- .:5,t:;O
PID 25~3+9~ O/e~o
OWNER
(N ame) . \j(>-~ U(. .0- ~o'"'
(Phone)
q$"2-- "2-?.)?'-2~ .~. U-I)
'-.2 I 1.- - 9,ije, -- S'l S'1' (L )
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
o Alteration
OUtility Connection
ORe-Roofing
ORe-Siding
eck
o Porch
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 :.vill 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
:'" u7~~rm n"de' imp"tinm. , /, J D "-
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
pproved
,---
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 $ r 38. ~b
\ Rece~eFZJ<o 0
BY'j
[Paid /;?f5. ff "
[Date 1-1- () '1___
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 Celtificate 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 4-sClO /!0/"1/"11 Nqff/eo ~I l.-/
TYPE OF WORK tJt:7VL-
USE OF BUILDING ~J A--/ fl--
,
~2 - 079Z- DATE ISSUED 7-/- 02-
-
BUILDER )-I~N-SoA/) tJ~~f::; PHONE # ,Il- 840- 5457
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
PERMIT NO.
INSPECTOR DATE
I FOOTING I ~ . I ~/~/o 2.-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I ~ I g!J.--l/8Z-,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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CERTIFICATE 'OF SURVEY
For: Metro Classic. Homes. Inc..,.
CITY OF PRIOR lAKE
r hereby certffy thll . plan IIICIClI'Ide to the best d .
my knowledge and the car d Prtar Lalc8111Bsuing
this permit b8IId on"~ .....1UbmlU8d.
I take fuR .........,.....,....... on thIa \. \
\ plan and '''' ~ 1JOf"'. NIlnllng
any lItrucII.-........ b: Ilt h- . r II'" e. .
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-James R. Hill, Inc.