HomeMy WebLinkAboutBuilding 02-1124
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
LOT
f: WI L--[) :;
(Phone)
1")"1- 2.-53 -"333"3
ADDITION
OWNER
(Name)
LJ A-~J
$ /W-,ey
(Address)
White
Pink
Yellow
File
City
Applicant
PERMIT NO.CJZ _ ((2- t
rJvJ
ZONING (office use)
Pu~
-0
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
o Porch
ORe-Roofing
ORe-Siding
DLower Level Finish
~eck
o Fireplace
DAddition
o Alteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
o Misc.
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 pia m aw at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon OR rty to perf< ne ed inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
9hD/oZ-
, Date
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 $ //5.20
Paid
Date
~~. :2(u
(e:>/o1-
I
I Receipt No. 45.02-'(
By (c/J/f .
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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:AH
PRIOR LAKE
INSPECTION
RECORD
~4L.. ~ 1 W I ~ ~ 'AEvJ
DE:c. ,c::.
rz.C:s It III ,.
DATE ISSUED '1 I' fo (Ol-
I ,
BUILDER BA/1.../l..1 LPA-'-'-~N PHONE # ,.,2.....Z::;~ "'33~3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECT~S BELOW
THE PERMIT IS BY SEPARATE DO~~~~ r?e.
I FOOTING \ JJ-::'jrL~ I.AJ IT'''' tb..L~ c:: I )J/A I
PLACE NO C CRETE UNTIL BaVE H S BEEN SIGNED
~ '2$
-& I)
I FINAL I" ~ I ~ /7.~/d&
~O~I~~~e~~~~~~;:I~~~ ~~;;~n:;~~~50 /
vUe> 5) Ja:h5
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO, 07.- '