HomeMy WebLinkAboutBuilding Permit 00-0926
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.{)O
I. White File PERMIT NO
2. Pink City '0
3. Yellow Applicant
~;d'i"~:q6- 0-eck .s: mtJL ~ /"W
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK 4-- ADDITION l5/eOO.KSV/6(..,6 #/~S 2 /i;!?
IC.I
PID 2.5. ()/(P. () 39, 0
lI'!"20/VA-KJ j) C;0V(//l!S ~I/
/
(Address)
BUILDER
(Name)
(Address)
TYPE OF'
CLOSE FILE
10/28/03 MP
o Misc.
. (Phone)
(Phone)
eck
DPorch
l
lRe-ROOfing
DAlteration
)KRe-Siding
DUtility Connection
lce
DAddition
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 d that all construction will conform to all existing state and local laws and will proceed in accordance with
sub ..."'J y~ . I am aware that the building cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
upon the p perty to perform needed ins ctions.
PROJECT COST /V ALUE (excluding land) $
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Contractor's License No.
$ 74.?S-
$
$ I. l- ~
$
$
$
$
$
I Park Support Fee #
I SAC #
I WaterMeter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
This Application Becomes Your Building Permit When Approved
~~~
TOTAL DUE
~g
$
$
$
$
$
$
$
$
$ 7~. 0 cJ
/d. It, . () t/ I Paid 7~ . C/V R.eceiPtAtfIt .;;;8ft. 07
Date I Date 10./". cJ1..- By 7""\..
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