HomeMy WebLinkAboutBuilding 02-0998
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
g-/5-tJ2-
ADDRESS
3/02
W 1l-.oS
K40G6
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK / ADDITION ...5~/M
OWNER
(N ame)
(Address)
BUILDER
(Name) I ~C'1
(Contact Name)
(Address)
HI i:~J\J / /J/7~/G
" /
TYPE OF WORK
o New Construction
o Lower Level Finish
o Misc.
White File
Pink City
Yellow Applicant
PERMIT NO. 0 Z ' (J t'/q ~
0- /'J tV
ZONING (office use)
p(/LJ
#. e -r11G NILPJ
PID ZS- 303 - 05-0
(Phone)
pie 77f;,
- 80 - z.
C;$ J- ~7{J - 7 # ~
.Jc 2. 33 ~ ~oo4-
(Phone)
(Phone)
Deck
o Porch
ORe-Siding
ORe-Roofing
o Fireplace
OAddition
o Alteration
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 a e that the building offi 'ar an revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
Xenter upon th~ prope 0 erform needed inspec . ons .~. /
U/[~j f/ //::;- / ()J..-
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
Approved
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~D ~-,,5"{) Z- $ 14 - (00
I ~;"1L +Z7#-
Paid
Date
~~'~O
~ /$"'02-
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
~/OG6' ~T
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..:3 /0 Z WI LOS
TYPE OF WORK .oU'L /-lODA.I
USE OF BUILDING /265 1-1 /12-
PERMIT NO. tJZ-oQQ8 DATE ISSUED 6-/5-0~
BUILDER ~/ e:- / 7 b PHONE # 270 - 74'.tf-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I Jf. l/.I 9 ~6 I. ~ I
r w
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
f JlII ',MIIS I I I
I FINAL I ~,. I qX!02- I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850