HomeMy WebLinkAboutBuilding 02-1029
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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White File
Pink City
Yellow Applicant
PERMIT NO..,.
("I"Z-- 1021
ZONING (office use)
ADDRESS
3~
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LEGAL DESCRIPTION (office use only)
LOT b BLOCK I
pal
ADDITION L)
PID
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?i -i9 - ~/? - -95'0~6
(Address)
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- 50 7 c2
TYPE OF WORK
o New Construction
Deck
OPorch
ORe-Roofing
ORe-Siding
o Lower Level Finish
o Fireplace
DAddition
o Alteration
DUtility Connection
o Misc.
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 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 u~ ~~r~e~ ~fo'2feeded inspections.
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Permit Valuation , Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE Cc.,{J ~ $ q
Wh n Approved Paid i~~g I ~;ei~n~fJ
J Date
fB t.. ! ,0 <--- .,.,i~" ; '-'
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
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3d-rf1 ~"M-I- ~t-'
TYPE OF WORK Deej(
USE OF BUILDING :5F
PERMIT NO~ - Ie "Z-~ DATE ISSUED
BUILDER ~ afi e-Y<, /UJcnz./ PHONE ~ "1J--h3&-c5b 7~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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I FOOTING I ~ I .f3 "'0~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
FINAL
, - (; l...--
FOR ALL INSPECTIONS (952) 447-9850