HomeMy WebLinkAboutBuilding 02-0693
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f9 '/0-02-
/&994- //tl/VeCJ6 /tt/G
LEGAL DESCRIPTION (office use only)
LOT /2- BLOC
OWNER
(Name)
I. White File I PERMIT NO I
2 Pink City . () 2 _ ()(PQ?
3 Yellow Applicant ~
ZONING (office use)
,eISO
- ADDITION S~~/jt.JCi e-.rr/C:6' 7l)v-t;JS/7[;;
PID Z5-/33-- 4/- 0
(Address)
(Phone)
q~~)-t/16 -/t{CJ I
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Roofing
OLower Level Finish
o Misc.
ODeck
o Porch
Re-Siding
AIVO.;.ra>A/~ .PooJl!t....
OUtility Connection
o Fireplace
OAddition
o Alteration
PROJECT COST IV ALUE (excluding land) $
1 hereby certi at 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 ent the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted ans. m awar at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo he IJ erty to p rfi rm . eeded' spections.
x
Permit Valuation 2/5"00.00
Permit Fee $ 'lei. 7S
Plan Check Fee $ --
State Surcharge $ ( Z'l
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
}2H~ & It -cZ-
Building Official Date
Contractor's License No.
(D,J:A\~6~
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '7ro.()()
I ~~cef'l4Ztkl
I Paid 7 r . 0 0
@ate -- / (J - uX--
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.
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
Planning Director