HomeMy WebLinkAboutBuilding 02-0753
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
to . Z 4- -p 7-
ADDRESS
(!/f{,r/vT
/5593
Date Rec' d
; ~i~~e ~::y I PERMIT NO. 02-0'7"-7
3 Yellow Applicant , L~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2..~- ():JS'" ()o2- "-0
OWNER ~ /
(Name) C-. '/.J4<~/ r;' ~
(Address)
~/
(Phone)
1/;/- ?7G) -~/~/
, ~/r/
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
Re.Roofing
o New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
o Porch
ORe-Siding
DAddition
OAlteration
OUtility Connection
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
SUbmltte~__ lans I am aware that the buildmg offiCial can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a designee may
enter upon the roperty to ~rm needed mspections /
d~;J-t""C/ 7:;::;~/~ 6~.al'-o 2-
Signature Contractor's License No Date
Permit Valuation 2, ~ 60. DO
Permit Fee $ f Lj.1),
Plan Check Fee $ -
State Surcharge $ t.7-\
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ /e''L.4-. (1z.--
Building Official Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
.cFV
4' . 'I 7.--
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