HomeMy WebLinkAboutBuilding 05-0111
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1f 00
\..(J . CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2..';'05
I White File I PERMIT NO
Pink City . 0 L. 0 II /
3 Yellow Applicant , 0 -
~
fJ({ /01( L C<-~ <(0-
EGAL DESCRIPTION (office use only)
ZONING (office use)
K-IJ 0
LOT
ADDITION
PID Z5 /8i3. OZ2.0
BLOCK
~/r;
(Phone~6r9 Lf17 ~fiB/
BUILDER
(Name)
(Contact Name)
(Address)
Lifetime Siding & Remodeling, Inc.
11825 Point Douglas Dr. S.
HastIngs, MN 55033
(Phone)
(Phone)
05/ LlS8 - o8c./~
TYPE OF WORK
o Porch
ORe-Roofing
o New Construction
ODeck
OLower Level Finish
o Fireplace
OAlteration
OAddition
o Misc.
1/ 99~
PROJECT COST IV ALUE (excluding land) $
Re-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 prope and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plan I am aware e buildi fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th roperty to perfo n ded i p tions.
/780
Contractor's License No.
Park Support Fee
SAC
#
#
Z,sao.oo
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
c2-g-05
Date
$
$
$
$
$
$
$
$
$
IR?NO
By (A.tt
I"'OO
. ~ 9. oS
This Application Becomes Your Building Permit When Approved
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
16200 Eagle Creek Avenue Prior Lake, MN 55372