HomeMy WebLinkAboutBuilding 02-0453
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O/~v+t)1
Date Rec' d
4 ~ Z1,tJ2-
~i~i~e ~:;y I PERMIT NO. 07 _ /\ A C""'2..1
Yellow Applicant _ f.."I ~~ ,
3182- ~fmot/ (!LJVE PI AlI>1/
ZONING (office use)
,e /S D
LOT ;?5LOCK/
LEGAL DESCRIPTION (office use only)
ADDITION ,v~~t7 0 b 1J/I1C.J e::f1/rn:::.-j z::1!1 PID zS- -.S] - 025" - 6
OWNER
(Name) .:D1i YP
(Address) 3/6" 2- ":5"
(Phone)
( 9S2) ?~zt - /951
t /2- - !j /1- 3'15-
t.--"
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc.
o New Construction
Deck
o Porch
ORe-Roofing
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
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
enter up e property to orm eded inspections.
x
Pelmit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o 4,30-0
~ 9 /~f- tj ~ 1 Recel,'5' tNO.!,/'7~~
[~ - /-nd-- By 4{'
, .
l
OLower Level Finish
o Fireplace
OAddition
OAlteration
PROJECT COST /V ALUE (excluding land) $
.:3 gc.:
Contractor's License No,
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
'ng Permit When Approved
c(- 21-'0 I
Date
#
#
#
#
4/z;t!1) 2-
ate
$
$
$
$
$
$
$
$
$ /(Pz~ 4h
This is to certify that the request in the above applieation and aceompanying documents is m 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 3/82- ~rMLJV (!.OvE: PI A/W
;
TYPE OF WORK /) t/I Y
USE OF BUILDING /28S #/ t2-
PERMIT NO. OZ-04-53 ' DATE ISSUED
BUILDER FE-NA/&SSY PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
PLACE NO CONCRETE UNTIL ABOVE H
,~ 1
I FINAL ~ ~..,...;,A if oi..:.1Q/t)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
1
1
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