HomeMy WebLinkAboutBldg Permit 02-0817
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
8 I'}
I PERMIT NO.c>2.- oell
(Please type or print and sign at bottom)
ADDRESS
393'1 11-, DPtAl PDN"d
ZONING (office use)
IeL
LEGAL DESCRLr lION (office use only)
1
LOT/ BLOCK ~DmON ~Lt1fJI;v-'A1i I</~ I~I-
OWNER fJ... J~I v
(Name) 0 J/ 1 F I rJ It- E (Phone)
(Address) 3131 J-h () bEV Po/'}c/
PID :J 5-~S?' tJd.{)--t.J)
~S-2 - If'l7 - 5-,Z.3
BUILDER ~~
(Name)~/ I'fSSLG IL-oO rs nJ L
(Contact Name) Ptll/,." IIA //)62-
. ,
(Address) /2.600 /zlhlt; 6w/MSV,Ik..
(Phone)
(Phone)
/YJAJ .55337
q~L 8,S-12/g
f ~/2 (P9~ ~O
TYPE OF
ODeck
OPorch
~ofing
ORe-Siding
o Misc.
CLOSE FILE
10/28/03 MP
o Fireplace OAddition OAlteration OUtility Connection
I D 7'"'2 , 3C./",v
JECf COST IV ALUE (excluding land) $ if- ,,; ~
I hereby certi. 11 which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized a~ent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
SUbmi~~~ro~w:~. at ~~~~ ~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
=ter 7~ hAJ;, to V rm nr (d roons. 2[) 1103 ~ b 8 () 3 /0,3
c., Signature Contractor's License No. Date
Permit Valuation 2J 5'00 ..CO Park Support Fee # . $
Permit Fee $ 7'1 . ,e;- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
I State Surcharge $ I,te;- I Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 7t; t:1r:.)
() 1:1'7 (p .if:' lf7.3'8?
~oo& mes Your Building Permit When Approved I Paid Rec()f, No.
1- !9 .02-- I Date ) - 15 . '2.DO'l-- By
Builung 0 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 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) 447-9g50, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372