HomeMy WebLinkAboutBuilding 02-1153
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ?~ 10--;Z
I. White File
2 Pink City
3. Yellow Applicant
PERMITNO'OZ_I/~
(Please type or print and sign at bottom)
I ADDRESS
/~j'-/I
,
ZONING (office use)
12/50
Pd
;2d {kt /(s
LEGAL DESCRIPTION (office use only)
crt! I
LOTL/OBLOCK
PID d.~-
ADDITION
q0~- Lf47. JtV7
(Phone)
(Address)
;.JArYl/6 ~\ItS1)\ D
(lii8]Imm~me) ~B
~6rle) t. ~ / - '-/lP3 - 4- 7 4-/
~)
rfJ 1Gr1 / IV6/ZJ tJ
~e)
(~~.
p/t/c
o Porch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o New Construction
o Fireplace
OAddition
DAlteration
'to~o,
OUtility Connection
OLower Level Finish
o Misc.
OD
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 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 I am a 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 per rm needed inspections.
r-
x
~dti'@lll~'fot'niceme No.
Permit Valuation II t.tJO CJ. o-iJ
Permit Fee $ / ZS-. 2.>
Plan Check Fee $ 81. ~ I
State Surcharge $ 3.00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
$
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building Official
f/lO/o-z.--
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
iSS~~
Planning Director
9/lf~
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /534- / ,e.'E7J 017t::.s /2-or1V
TYPE OF WORK ~. /.JEC;c.'
USE OF BUILDING /c:!ES /...;/12-
PERMIT NO. ~12-.-II.5s , DATE ISSUED 9-/3-02-
BUILDER ELVES/A.D PHONE# ~s-1.4-~3 .474-t}
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
- I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
*~J FRAMING~~f:L6" Det.l'- BPs MEt AfPUEO iIl;rO I Il-J-(,-OJ-
. ~~ ~~ .!- ~tM.V\. ~ (, I ~/-D'7-
I FINAL I /:;'_ I y1~~
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
I
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