HomeMy WebLinkAboutBuilding 02-0898
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7"':Z,Z~02-
~ ~i~i~e ~:~y I PERMIT NO. O?...-o a.ao.
J. Yellow Applicant . _'" 7/7 V
ADDRESS
V'. ~\.."
.o~ ~k~
LEGAL DESCRIPTION (office use only)
LOT 5BLOCK / ADDITION
#/p() eN VIew"
PID ZS-2(('/-
ZONING (office use)
I2/S0
OWNER r
(Name) ~i-Q\J~v, ~ :Se;.r\",,:-t-er
<C_~e.~ S
(Phone) 9Sd- ,-/o'?:;-I$a>S
~ a,,,,-, (P/Z- 3~7' 3'13.5
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~New Construction
OPorch
ORe-Roofing
ORe-Siding
1)fpeck
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
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
exnt the property ,0 p.erfo~,eeded. nspections.
'\;. 7-- ~:}. - 0 Q
Signatu Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Valuation lltoo .ao
Permit Fee $ SO.~
Plan Check Fee $ (
State Surcharge $ 6
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
lication Becomes Your Building Permit When Approved
I ~~~ 91i i ~{; L
I ~~jf'. ~25<,t
7~2s-o
Building Official
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 /4/20 /;/D06N VI6N 120.
TYPE OF WORK 06eK-
USE OF BUILDING er;s ;Ct / /Z...
I
PERMIT NO. 02-0896 DATE ISSUED 7.~z-.o'2-
BUILDER &/l/Cj6L.S PHONE # (bIZ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ FOOTING I INSPE~. If/7/tll- DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~.. ...l.. ~ I I
I FINAL I Jt1IlO' I Ik~~ ""ifL,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850