HomeMy WebLinkAboutBuilding 05-0350
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1, White File I PERMIT NO
2 Pink City . (.7!)", c:: '35-0
3 Yellow Applicant ,
ZONING (office use)
G~ mN 5537:)-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z~. l'll-. 0(1 I- ()
OWNER r .' . /1 ---'1 k
(Name) cdwarcJ ci--- Larol ..Jac :Son
(Address) 3470 SdYh Street Pnor La/<.r.L. /YJN
(Phone) 951- - 2.2h - 2726
~5'37d--
BUILDER
(N ame)
(Contact Name)
(Address) 3010
/-{ eu,-n
East
sfruL h'OY1 G.
San cld U
f1-
Lf - //enlU-
c.
(Phone)
(Phone)
1;-2 - '103- '1 J 00
6/2 - 363 - OIXJ -tc61 i
ee.
mAl 553'1
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
e-Siding
o Fireplace o Addition gjAlterationD h' i\ OUtility Connection
rJ II UC):f
PROJECT COST IV ALUE (excluding land) $
5t-72S1
'1--Z7 -05
Contractor's License No.
Date
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Building Official
Date
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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