HomeMy WebLinkAboutBuilding Permit 03-0358
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3- 2.5 -03
1. White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 03 ~D3501
/J /}l-5/11"1 sr
33/0
ZONING (office use)
/C-/
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK Z ADDITION Sv/l/Jt;;- / 1I/(A.,5
PID 25-/72-- tJo9- 0
OWNER -,' . ' ~
(Name) .1 I), f'r1", '
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(Phone)
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(Contact Name)
(Address)
(Phone)
(Phone)
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TYPE OF WORK
o New Construction
eck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
o Addition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 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 upo the prope to perform needed inspections.
x
Park Support Fee
SAC
#
#
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
This Application Becomes Your Building Permit When Approved
~ ~/!J 3/~/63
Building Official f Date
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) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'"
PRIOR LAKE
INSPECTION
R ORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ·
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
BUILDER r 4-
NOTE: THIS IS NO A PERMIT FOR Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I 11;1~ IIIW' I ';-(6 -J\ ;;:t<r~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE6
.... I I
I FINAL I ~1 I '1-<;'1Il
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850