HomeMy WebLinkAboutBuilding 02-1131
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
P Y' J, \.U 1+
IS3~
Lv ,LOS
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
ADDITION Wen
OWNER
(Name)
(Address)
9-1/-07-
] White File I PERMIT NO
Pink City . 07- / /.3 j'
Yellow Applicant , L--
ZONING (office use)
12/
'r-
PID 25- 37'" '-077-0
J1
(Phone) ~S-I -lfob -lj t.; 00
!J-S"I Z Z
1
BUILDER
(N ame)
SI'r~-e
(Address)
(Phone)
TYPE OF WORK
o New Construction
OPorch
ORe-Roofing
ORe-Siding
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 upon the pr pe 0 perfor eede spections.
OLower Level Finish
o Fireplace
o Misc.
x
-
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
en Approved
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $
/ tf ~g
r-/J-oz.
Contractor's License No.
Date
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 $ /15. Z&
- (/1--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and 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 /5329 /1//L05 ;:J/JRK-JVAY
TYPE OF WORK f} e Cf<-
USE OF BUILDING ;26S A/;e
PERMIT NO. OZ- -- / /3/ DATE ISSUED if-I/- 02-
BUILDER flv6/I/SI1I9NN I-IOIJ&S PHONE # &5/. fO~' 44CJO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~SPECTOR DATE
I FOOTING I Wf I q ~ Ie cJL
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL I tiJr, Is-s- ~&/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850