HomeMy WebLinkAboutBldg Permit 02-0217
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERn.nCA TE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'i'
I PERMIT Noka}./'7
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::cb 4f 02-0051
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I. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
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J- Voooi<u tnLW ill ;..)m'" (phone)
Pershi~J Sired 5W; PriQr ~k 1 mAl
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. (Address) 3010 fast q-IfJ Ave&u-, :5h<=1ka.pee, mlV S5~7Cj
PIDa.,- 6Cfl/- 0 dS-- ()
OWNER R'Ikr4..
(Name) '_ ~
(Address) 3880
95;). - Lftf7" ~035
BUILDER
(Name)
(Contact Name)
(phone) 95). - ~03 -9/00
(n.vuc)(J'L~ 'l5~. /!1J3 ~CJtoo
TYPE OF WORJ
~e-Siding
OUtility Connection
OPorch
OAddition
ORe-Roofing
OAlteration
lace
CLOSE FILE
10/28/03 MP
o Misc.
)ST IV ALUE (excluding land) S
I hereby certify that I . _ _0 -r _ ' u .......... is to the best of my knowledge true and correct. I also certify that I am the owner or
aUthOrized1jg or th ab - entioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
SUbmitted. pI . I are at the building official can revoke this permit for just cause. Furth. ermore, I hereby agree that the city 0 fficial or a designee may
enter upon p p to rm n eded inspections.
X " Be. 7),S/ ~-;)7-Od-
. Signature Contractor's License No. Date
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
I Park Support Fee
SAC
(;).500,--
7~
I;, d..~
$
$
$
$
$
$
$
$
$ 1J~.0.:9--
#
#
$
$
$
$
$
$
I $
I $
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
This Application Becomes Your Building Permit When Approved
Receiot No. tll CJ-){ b
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~... 13-0 d-
Paid
, Date
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 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
)