HomeMy WebLinkAboutBuilding 02-0141
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
-zr-!3--() 2-
I White File I PERMIT NO I
2. Pink City . 0"/ - () j' .AI
3 Yellow Applicant . c...- ~.
ADDRESS ZONING (office use)
, I~'-
/'-,
#J
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK
ADDITION
H65 /,p- /fDO;J.
PID ZIS -rlt.f.- 0/.3.- 0
OWNER
(Name)
CtoX) nJ~-IAl;:J--,
Jt3R.AIY'I fA-If WIV6 ~Tj2..0W\
(Address)
(Phone)
41-0- 4041
BUILDE~ k-~ C / c.... /"\
(Name) I", ' ~. '-=5. '---"
(Contact Name) ts)~ (~..l77 ('\
(Address) &/&~ ~f;JUAt//
12)~
TYPE OF WORK
o New Construction
ODeck
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
OUtility Connection
o Misc,
Permit Valuation 2-,500.00
Permit Fee $ '74. 1 )
Plan Check Fee $ -
State Surcharge $ /. 2-- ~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Thi, App~ Yo", Boildiog p=~ ~;o :~PZd
B~ilding Official Date
(Phone) ICI,:)- ~~9-/ii39
(Phone)
o Porch
ORe-Roofing
e-Siding
Contractor's License No.
dJ/3 It) L
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 $ 7 &. ()O
,
I ~;~ 4-/~" 'I
'"
Paid
Date
7~'OO
/j? -0 z.......-
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