HomeMy WebLinkAboutBuilding 03-1112
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec \ d
White File I PERMIT NO ~
Pink City . 03- LJ I
Yellow Applicant _ _ ~ _
I
3qq
ZONING (office use)
12/
ADDRESS
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK
ADDITION
,
J~
PID
OWNER
(Name)
~i~ ~ CMtoL Of-1vSorJ
(Phone) CJ~d- '1'17 -/7 77
(Address)
B~~.seS
(Phone)
(Phone) ~3Z -7D7 J
,
l3
TYPE OF WORK
o New Construction
DDeck
o Porch
ORe-Roofing
~e-Siding
OUtility Connection
o Misc.
[!]Lower Level Finish
~
o Fireplace
OAddition
o Alteration
PROJECT COST IV ALUE (excluding land) $
x
-=O~-~Ie~\
Contractor's License No.
f -..:22-03
Date
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"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ?~.-
This Application Becomes Your Building Permit When Approved
Paid
Date
.~~ -;ii
',. l-~.6
I Receipt No. if53~ 7
By if
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