HomeMy WebLinkAboutBuilding 02-0448
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
<(_ 3(?--O ~
?B-37z.
White File I PERMIT NO ~
Pink City . OJ. - (;) L/ L/
VeHow Applicant -, _
ZONING (office use)
PUD
WIl-D5
?/fK./< WA Y
;tiN
LEGAL DESCRIPTION (office use only)
LOT II BLOCK I ADDITION
WIt-OS
2/\/0
PID 25- 32..3- 01/-0
OWNER
(Name)
A14rk f. D4. tills oh
5-233 W/I ds ~
(Phone) 9s:.? - ~.:zt .- ~ ,f 2 3
Ict k<-
(Address)
BUILDER A A
(Name) IV II) du rJ (Of) 'j .f-rl.t c,h "n
(Contact Name) ..,{?,J/ &/1
(Address)23'10 Ifuburn j)r, / Yid-Dr/41V
(Phone) 6/.:2 - S-91J - t> Cj 3 () - L~II ~
(Phone)
TYPE OF WORK
o New Construction
Deck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
o Addition
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I have furnished information
authorized agent for the above-mentioned prop
submitted .Pla~s. .~m a~i-e tho a. e buildi
enter upon~e p. e 0 pe ~ee}l .
X ~~';iIfC/,-
Signature
is application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
nd that all construction will conform to all existing state and local laws and will proceed in accordance with
lcial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ctions.
Contractor's License No.
y:: 3"'0 -6 L
Date
Permit Valuation
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
e---
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ I:~ B. B0
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
~: ~~Jito~ :;ciEt~5tj
'his 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
hen signed by Ihe City Planner constitllles a temporary Certificate of Zoning compliance and allows construclion 10 commence. Before occupancy, a Certificate of Occupancy mUSI be
'ued.
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. 0 z . (~) L\ is
.
INSPECTO~ DATE
I FOOTING I is .~ I S~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN 'SIGNED
t~/ I I
FINAL
~
FOR ALL INSPECTIONS (952) 447-9850