HomeMy WebLinkAboutBuilding 02-0849
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LOT 3 BLOCK ADDITION s-. CTl<:)Ai So !OVJrJ>IJI liS-
OWNER ----
(Name) ...J (j fJ ,J /CIL!?OIZC)
(Address) /'1 t ;:;vlGt"^ .:> ~ f J ~-
~, (.,.
ADDRESS
1L/3 j- g
el/IGC/2<:
LEGAL DESCRIPTION (office use only)
1-/0"02--
1. White File
2. Pink City
3 . Yellow Applicant
PERMIT NO. 02-
,e I ,
rJc
ZONING (office use)
K-/sD
PID Z5
(Phone) 9...s i.. Lj 'I C,
07(.7
BUILDER
(Name) ....../ oAJ r
(Contact Name)
(Address)
(Phone) 9$ 2 - /'/9 ~ - 0 7' '" 7
(Phone)
/C/L!<Ot<_
ORe-Roofing
ORe-Siding
eck
OPorch
o Addition
o Alteration
OUtility Connection
TYPE OF WORK
o New Construction
o Fireplace
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $ .3(JUU
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 property to~erfor need~ns~ections.
X __I
Signature Contractor's License No. Date
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 # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
~cr $
1'~~-Oz,.. $ 6.0"
~,tb
\.
7-18~6 L-
Date
omes Your Building Permit When Approved
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
,=,d '7 /i~1 eVL q., c ~.d~~:~~\..y C"vJ;~W'). \ s
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
Thr ('f'nlef of lhf' Lab Counl"."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T8/L-L50R-q, JOfllJ
I
'7-/0 -- OZ-
-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/435'8 ,eUTqER..S ST tJE
Accepted
Accepted With Corrections X
Denied ~ 112 -:=J~-
Reviewed BL ~__ V ~
:P:t:~ D2d:: ~~
Date:
7-16-07
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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