HomeMy WebLinkAboutBuilding 02-0957
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (/-/ 'tJ-;;>-
AND UTILITY CONNECTION PERMIT () C{J
ADDRESS
~. ~i~i~e ~:;y I PERMIT NO. /'J /_ rye-.k7
3. Yellow Applicant . (,,/0< 7 ~ ~
1~7~tJ!1
D-vA -<d& ~
ZONING (office use)
(<I
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
C HA'Rlr>
).
BUILDER
(Name)
(Contact Name)
(Address)
D G1f.. bl.:. Ll)
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!.Pt L/67~
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(Phone)
(Phone)
TYPE OF WORK
eck
OPorch
ORe-Roofing
ORe-Siding
o New Construction
o Fireplace
o Addition
OAlteration
OUtility Connection
o Misc.
OLower Level Finish
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 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 th . ai ?('al c revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr 0 fo . s. .
X . ~ 9' t ';0'/)--
Contractor's License No.
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
#
SAC
$
$
$
$
$
$
$
$
~.. ()7/ $ &0 {)(p
,I 8 ~.. ~ "" I: Receip'NO,pO'g'
_- _-Orr-. By t~.
#
Water Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
es Your Building Permit When Approved
8 ~ CD -oL
Paid
Date
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
-- -~--
-- ---
_...L!L CONTROLLERS
l4I001
08/23/2002 14:47 FAX 6123407373
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PRIOR LAKE
INSPECTION
RECQ,RD
SITE ADDRESS /'7,X1L-f /l~{f}
TYPE OF WORK De de
USE OF BUILDING 5F
PERMIT NO. ()'J-- qS? DATE ISSUED g> -t-{}7-
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
tJi:..ECTOR ,DATE
I FOOTING I i I ~tvJo 2--
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
L~ I 4-. 13f/~/D"Z-
I FINAL I tlV - q/5~Od--
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850