HomeMy WebLinkAboutBuilding 02-0523
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C:i
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5~ /4,02-
I. White File I PERMIT NO
2. Pink City . OZ - 05? :?
3. Yellow Applicant ~
577CP
SHANNON -neA/L--
LEGAL DESCRIPTION (office use only)
LOT
BLOCK I ADDITION pe/ol<?- H/LL-
PID 25-/7q- 008-0
ZONING (office use)
1</ .sO
OWNER
(Name)
(Phone)
C/6Z' 1/f.,7- 4{p/O
60612- T&6N DONOVAN.
J
677& 6HJqN';VcJA! TM-/L-,
(Address)
t-O~ /
7? /.., .
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Porch
ORe-Roofing
ORe-Siding
o New Construction
eck
o Lower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
OUtility Connection
ed inD ation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
entio a property and that all construction will conform to all existing state and local laws and will proceed in accordance with
at the uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e 1 ctions. 5/I.u 10."2...../,.
Contractor's License No. ~
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
$ BS.'Z.\ SAC
$ c:;; if. II Water Meter Size 5/8"; 1";
$ I. )0 Pressure Reducer
$ Sewer/Water Connection Fee
$ Water Tower Fee
$ Builder's Deposit
$ Other
$ TOTAL DUE
I Paid /.3:.::~o~
Date
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ I 38. :J {.
42~
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
-<<
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 577~, ..-5:H,q/J/voA/ ~/L--
TYPE OF WORK LJe~
USE OF BUILDING J2E;S /1-/ t::-
/
PERMIT NO. ()2.- 0523 DATE ISSUED 5-/4--0Z-
BUILDER qotSR.TZ~1lI PHONE# 4-47~4"lu
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ 15/31 /(J~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
J FINAL I IW I q - j.. 3,- OJ-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850