HomeMy WebLinkAboutBuilding 01-1059
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Kec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 9- ~ <1-01
ADDRESS /~u
~ !{/ _':i{' /4vc" 1/ I 'u- (.-, .-
-.:J[
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
X (Name)
(Address)
BUILDER S41'1 IE
(Name)
(Contact Name)
(Address)
TYPE OF WORK o New Construction ODeck o Porch
I. White File
2. Pink City
3. Yellow Applicant
ZONING (office use)
R:)
PID ~S- 00 I-() tie.; -(~
[ )
(Phone)
~. 4 Lf'7 ,-).1 t'> tv
_ _C
(Phone)
(Phone)
ORe-Roofing
ORe-Siding
DLower Level Finish 0 Fireplace OAddition OAlteration
!::NT. ~.PROJECTCOST/VALUE (exc1udingland) $ /'l()()O. ~
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
submitted ~s. I am.awar that the building official can revoke this permit for just cause.. Furthermore, I hereby agree that the city official o. r a designee may
enter uP9'l j property 0 p. e 0 .bJleeded )~s~ec~ons. '.. , J. /
X "f ~ ! l UJ.A.4,E<.LfL- ;.J/\J rl 1/;). c.j Ii!'/
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 $
Building Permit When Approved
4-25-01
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 $ IIF;.2-(P
I :;ceiP' NO~;)
Paid
Date
if ~ :~~!O,
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
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TIMES.
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS I u, I Sh ArCa(;~tCA M
TYPE OF WORK {Q.p(f:lAO ~~ ~~
USE OF BUILDING ~ l;.1'\A:~~."S.f (kr-~
PERMIT NO. 0/- 1/)59 DATE ISSUED ?- ;;)(;-07
BUILDER ~ PHONE # t./<I1-l/PJ'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850