HomeMy WebLinkAboutBldg Permit 02-1454
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
//- /-Oz-
I. White File I PERMIT NO
2. Pink City 0 02,/ A.J'~ JfI -
3. Yellow Applicant ~ D~
(Please type or print and sie;n at bottom)
ADDRESS
5593 Cro5s;}ndra. 51-reef
ZONING (office use)
Il/or
Lgke,
j()AI
<;;c,
,
LEGAL DESCRIPTION (office use only)
PID ?'s'.30l..-lBl--O
LOT
BLOCK
ADDITION
- I /
~~e~R I/;u! /(elsfN / Ilclr,enne, tornad, (Phone) 952- 97L/- tz 78
(Address) 5'13 Go;sa'ndra- 5freei 5'c, if,oJ;' Lake-, fIllll ~537;}-
. ,
BUILDER C d. 17 L 1.. /I a
(Name) J{)J'7 alL LonsrrUC7/0tl Co., Ine- (Phone) 152-'/()3-9/00
(Contact Name) 8/aine mJ5See (Bft~1Te#~- 952 - '-ItJ3-96tJCJ
(Address) 3010 [851 'I~ Avenue" Shdkl)eeJ mill ~5377
. ,
JZ1RlSiding
DUtility Connection
DDeck
o Porch
ORe-Roofing
TYPE OF WORK
o New Construction
OAlteration
/1//11
OAddition
,e
CLOSE FILE
10/28/03 MP
o Misc.
T IV ALUE (excluding land) $
to the best of my knowledge true and correct. I also certifY that I am the owner or
ill conform to all existing state and local laws and will proceed in accordance with
for just cause. Furthermore, I hereby agree that the city official or a designee may
I hereby certifY that I h,
authorized agent for the
submitted plans. I am l
enter upon "!JiP~rty }1Perform needed inspections.
X ~/~ '
..." - ~lgO.ature
~ f3C.. 725/
Contractor's License No.
//-(}/-O2..
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
$
$
$
$
$
$
$
$
$ TUJ 00 0
Receipt Moo ~.j ZJ fo
By...-4-.. .
U
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
Z~500o()O
71/.75
$
$
$
$
$
$
$
$
J.Z-~
#
#
-
7 V. .VV
/ J. 1- d"Z--
I Paid
I Date
This Application Becomes Your Building Permit When Approved
r A:A4--
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Building Official
Date
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 constiiUtes a temporary Certificale of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director