HomeMy WebLinkAboutBUILDING 01-0873
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8 ~I fr--O /
at bottom)
IwZ75 pl11?-)~VI6W DL
I. White File
2~ Pink City
3. Yellow Applicant
PERMIT NO. CJ( --:l1813
5'6
G (office use)
LEGAL DESCRIPTION (office use only)
LOT .?f-BLOCK I ADDITION ~lllIffl-- ~DGtG- ;]120
PID 2-5 -3/ b-tJ ~4-- 0
OWNER
(Name)
(Phone)
(Address)
/'IP
~
:S'Y~.J.o
qr~ - .8?? - /J-cl
~ 'f)... - 'iii9?" ' jJ.l) (J
TYPE OF WORK
o New Construction
DDeck
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
DAlteration
DUtility Connection
DMisc,
DPorch
Re-Roofing
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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am aware that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon the prop rty er eded i ections,
x
Permit Valuation 2, 57JV,oo
Permit Fee $ 7'1- 7)
Plan Check Fee $ .---
State Surcharge $ I. z- S-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Be'l~s Your Building Permit When Approved
J?j)<k 6- / ~ ...-() I
Building Official Date
J.,lb (j!./d:J..
Contractor's License No,
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '1&. Ot)
,
4d35tp
Paid 1~- {/V
Date -IG .-0 I
I:~
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