HomeMy WebLinkAboutBldg Permit 01-1153
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(Please type or print and sign at bottom)
ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5871 CARDINAL RIDGE TRL SE
10/08/2001
I PERMIT NO.(J/- /153
.,1.. "..zONING. (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK ?-
ADDITION
OWNER
(Name) Betsy Elridge
(Address) 5871 Cardinal Ridge Trail SE
. (Phone) 9524402566
Prior Lake MN 55372
. (Phone) 7637552221
. (Phone) 6126360582
Coon Rapids MN 55433
] Porch ORe-roofing ~ Re-Siding
] Addition o Alteration 0 Utility Connection
ECT COSTN ALUE (excluding land) $ 4937.57
BUILDER
(Name) Cedar Valley Exteriors Inc
(Contact Name) Darrell Nelson
(Address) 9920 Zilla Street NW
TYPE OF WORK
CLOSE FILE
10/28/03 MP
o Misl'
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 perform needed inspections.
X~ BC-20177285 10/08/2001
Signature
Contractor's License No.
Date
Permit Valuation
Park Support Fee
Permit Fee
$ /1+ 7S'
1$
1$
) $
1$
1$
1$
1$
SAC
#
#
$
$
$
$
$
$
1$
i $
1$ 7(; ~OO
Plan Check Fee
Water Meter Size 5/8", I";
State Surcharge
l/d5
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
#
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your building Permit When Approved
Paid 2> Ie" -00
Date I 0 - I d.. -0 I
Receipt No.
By QE.....;
V
Building Official
Date
This is to certiJY that the request in the above application and accompanying document is in accordance with the city Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a t.,"'l'vuuy Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
p!mning Director
Date Soecial Conditions. if anv
24 hour notice for all inspection (952) 447-9850, fax (952) 447-4245
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