HomeMy WebLinkAboutPermit 03-0199
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom
77U1-/I./ (J t/ 1<....-1 ;Y
White File
Pink City
Yellow Applicant
Date Rec'd
2-2/-8
PERMIT NO. 03-
PID
OWNER
(Name)
(Phone)
(Address)
c;;r-:
ING (office use)
LEGAL DE~CRIPTION (office use only)
t/tff!CJ / t?~
LOT
BDOCK
ADDITION
BUILDER
(Name) pr6.t-~ ~Jc... oc1/.
(Contact Na*) -"77{' S-
(Address)
(Phone)
(Phone)
TYPE OF W RK
DUeck
ORe-Siding
D New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
C7l:::-7?r
x
Permit Fee
Plan Check Fee
State Surcharglf
Penalty
Plumbing Pernj1it Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace ermit Fee
This Applicati n Becomes Y Qur Building Permit When Approved
/tA:)I16- v. Z 1-0]
Buildingl Official
Date
DPorch
DRe.Roofing
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
for the above-mentioned prope 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 buil fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pioperty to perform neede ections. '
DAddition
DAlteration
~t.f7 ' ,~
DUtility Connection
$
$
$ 730.
$
$
$
$
$
$ (j.a
This is to certify tl$t 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.
Contractor's License No.
Park Support Fee
SAC
#
Water Meter Size 5/8";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
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