HomeMy WebLinkAboutBuilding 02-0115
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
32,2-1
White File
Pink City
Yel\ow Applicant
PERMIT NO.
Date Rec' d
ZONING (office use)
LEGAL DESCRIPTION (office use only)
WOOD
Du6K-
D~.
LOT
BLOCK
ADDITION
OWNER
(N ame)
(Address)
BUILDER
(Name)
(Contact Name)
(Address) f (I 5
PID
CP9-tf~o-/u:"/O
(Phone) G f; / r- Lf5 J - crqDG
(Phone)
~11 55cJ7S
OPorch
ORe-Roofing
TYPE OF WORK
o New Construction
o Addition
o Alteration
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 pIa s I m aware that the bUlldmg offiCial can revoke thiS permit for Just cause. Furthermore, I hereby agree that the city official or a designee may
:k' ~po , p!" ,rt)''' "orm ,d,d "'p"''"'' ~ - (j';) 0 '7 ' A.1:<
Contractor's License No ~ ~ate
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
#
#
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
on Becomes Your Building Permit When Approved
;2.-5-02
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
-.t
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
fo? I ~-5-6lj
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850