HomeMy WebLinkAboutBuilding Permit 03-1128
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
Date Rec' d
8.25.03
I PERMIT NO. ()3-IIZ,S
ZONING (office use)
PID Z-s. OllR. v'tZ-. 0
g,':~RI\JCV1'Q1\,^- <iJ Kl:bU1-JtA.Lbb801'\ (Phone) ~~! d-dl.o !'5~dJ
(Address)~llo l?iY~1C; ( WJ e F0lDr La K-.L 55310-
~~~)ERWI~DN litt (Phone)'1IR.~-425-21.1..1
(Contact Name) E :r- 't\J (Phone)
(AddreSS)<f3-}ro ffl-f h AVG N. 6LATtl lJ lPD 13P ~ $54t-/S
TYPE OF WORK
CLOSE FILE
1iMiSC~ 10/28/03 MP
o Porch ORe-Roofing ~Re-Siding
DAddition DAlteration DUtility Connection
I\LUE (excluding land) $ I d-t 8 .5()
I hereby certifY that I have fu.......__ __h___ ~ 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
SUb~S. I l!.m aware that the b ilding official can revoke this permit for just cause.. Furthermore, I hereby agree that the, city official or a designee may
~t0:pr~:rfo nee din 'ons. 4~?~' anC4~ '7 )~/ ~~
~ ~ Signature - Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
?c( ? J-
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
.,..
I. t,;"-
I Paid
I Date
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/,1 U.V?
This Application Becomes Your Building Permit When Approved
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7ft~ UV
Receipt No. ~?-,,4W
By
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372