HomeMy WebLinkAboutBuilding 02-0984
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L/3 3 ~
Date Rec' d
I, White File I PERMIT NO ~
2 Pink City . A"\ Z. _ C)
3. Yellow Applicant , L/ _ D
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
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(Address)
ER
~e) 5"P~ /1V6- '"D60<5
~ame) ~NQ~
(tWfess) 17-62.0 GO/A./"
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TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
P.#L6
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
o Fireplace
OAddition
OAlteration
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 p erty and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pi a aware that the bu' in fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;,,,.n lire "'" "","0"' Co y ~;:--
Permit Valuation [ goo.-
Permit Fee $ ~.s, .;
Plan Check Fee $ 4/.04
State Surcharge $ ,10
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 $ 105.04
4-2. TZ.B
(LOt-\-
Paid
Date
I oc). 0'
B(rz-lo1..--
Receipt No.
By
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
SITE ADDRESS \ f33S .pDV~ ~
TYPE OF WORK ~ \( .
USE OF BUILDING . A~Z / /
PERMIT NO. 01. - 9.~ 4- DATE ISSUED sir z../Oz..
~ . '"L.. f
BUILDER SPi21N& ~ GIU; ~ \~)~....MJ1P PHONE # ~ (z ... .:;rr 7 -2..1Z 4
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I ~ I ?1/s~2..-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I ~ I q/lk/O/--'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850