HomeMy WebLinkAboutBldg Permit 02-1076
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bv..u~)
ADDRESS
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LEGAL DESCRLr 110N (office use only)
LOT I BLOCK / ~DDITION
OWNER, I _ ~ I
(Name) -L- () "t"P -J 1'"'11 I e- 0 n (Y\
(Address) LJ.~ q D (1, orrlJ-l i' SJ .
S.F
Date Rec' d
..
I. White File PERMIT NO
2. Pink City . ') _, ./0-71
3. Yellow Applicant 0< / (0
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ZONING (office use)
(23
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(Phone) 9scr ~,:;9~8'
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~~;~~rNJ.X\ Ron~ Ill! ~. ':\~(\,
(Contact Name) T ~ 't\. \', ~ll'.aJY\
(Address) ~.O. boi- ~4 NeW ~[(U;~
I hereby certify that I have furnished information
authorized agent for the above-mentioned propeI1 CLOSE FILE
submitted plans, I am aware that the building of
enter up~rty to perform needed inspect 10/28/03 MP
X t::? ~.~ -
Signature
I Permit Valuation
I Permit Fee
I 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
as-bO.
$ 7'1.7:S-
$
$ I, g s-
$ J
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
:~s~
(Phone) C}sd.-7~-11V
(Phone)
'M J 5/.dJ 71
JiRe-Roofing
OAlteration
t!JD
It;.. ~-
ORe-Siding
OUtility Connection
ge ttue and correct. I also certify that I am the owner or
state and local laws and will proceed in accordance with
re, I hereby agree that the city official or a designee may
eNo.
Park Support Fee
SAC
#
#
~- 2. r - ?-"-'O ~
Date
$
$
$
$
$
$
$
$
$ 7~. oV
Receipt No. L/.;;>.. ~d-
By ~
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 t.:....}'u...ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
TYPE OF WORK 0 New Construction -!tiP~ \ l)., e-- o Porch
. i.J Ie. ttt I )Cl
'38 00 ~Q. 1=+ DLower Level pP)~V'" ~ FiYeplace./' DAddition
. ~.A Ue.-' d d- J ~
. DMisc,. //l~e..-I ~. 7..2. -z.Z-. ,I'lc;. PROJECTCOST/VALUE (exc1udingland) $
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
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
I Paid
I Date
7 to. ()'C..J
x/ g..q,- 0 A.-.