HomeMy WebLinkAboutBuilding 02-0825
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1--1- ()~
I. White File I PERMIT NO I
2 Pink City . 02 - De"> r--
3. Yellow Applicant . ?---:::;, .
fe.r e r I(\e. ~"..
pf'lor Lde..
~S"3 --=J 2
LEGAL DESCRIPTION (office use only)
LOT
to lik.sf .b
BLOCK S ADDITION
PID
OWNER h
(N ame) b (" ~ (Phone)
(Address)!J g 30 ",. Il'l'tH" Lk. "t{ AI ~)3 .
BUILDER ^_ _ -i- H'- _ -1 () -1 _
(Name) f"CLA"'ro' f ~ ~ ooeJ4?-rS ~ LL e
(Contact Name) 6~ R..obb
(Address)q~>L .73~ Reo...d g~'1 ~h
ZONING (office use)
LZ tv - 18 3
TYPE OF WORK
o New Construction
o Porch
eck
ORe-Roofing
OAlteration
o Lower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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
submi ans 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
en upo r 'nspections. )11\ > * J.O 11-9 o<J 'I '1/~ /~;;L
Contractor's License No. ' ~
$
$
$
$
$
$
$
$
$ 38 .f)~
I ~~ce""1ZSft
Permit Valuation
Park Support Fee
SAC
#
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
mes Your Building Permit When Approved
I Paid /JB - t/~
. Date '7-1/ ..~I ?--
) -7 - OL-
Date
This is to certifY th t 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 /~830 PE:JzGGe/ Ale ~/K- .
TYPE OF WORK pe:u:::-
USE OF BUILDING .eES ~/;e-
PERMIT NO. ~~- 082~' DATE ISSUED 7- 9-0 Z-
BUILDER ,P/le-/Z.-d/ I~ PHONE # 227,0&34-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
, FOOTING I Ibr. I ?!17/1J'l-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
I FINAL I /11 e I q/~L( -62-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850