HomeMy WebLinkAboutBldg Permit 01-0239
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIAN€E
AND UTILITY CONNECTION PERMIT
t-.!
\ ,
),
Date Rec' d
~~. 2 2001
I. White File I PERMIT NO
2. Pink City . O/~ /) t') '::J 9
3, Yellow Applicant (/ ....1LJ
6d!l!/
;JjJ{)S~~
6ieeef : .LJ..€/OP. La.ft;.
LEGAL DESCRIPTION (office use only)
LOT I~BLOCK I ADDITION 8 r()ok~u;1 Ie /1-;1/( fo-tJ...
OWNER /) I
(Name) cAa Rlene
(Address) 6d. qq
BUILDER A
(N ame) tLlL2LJ
(Address) / td4
TYPE OF WORK
D Misc.
fJll L) L
eld~1L
ZONING (office use)
RI
PIDrlS--- J(j'7- O/:J,-O
l., . ,. -
0fPp~1
j)p I~E!.
(Phone) .</'-10 -6 ,/,qJ
Lake
~/~
LJRILJ€ I
(Phone) !!SA - 81~dR6~
~il~/fJc~ULl{~ mtJ ~1~q~
-.:h
J
~Re-ROOfing
DAlteration
ORe-Siding
DUtility Connection
I hereby certifY that I have fumishea mtormatlon 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 offici rev is permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;~loq:~P"ti_ _Ll'-ACOCI'14C?.-s 4-4-01
Signature Contractor's License No. Date
ONr
DLower. CLOSE FILE
10/28/03 MP
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/Jp+ R- ~(lJ: t1.-
(J la <) <Jill/JR r\l
tion
T COST /V ALUE (excluding land) $
$
$
$
$
$
$
$
$
I Park Support Fee
SAC
#
#
"7 q J:::JS
I
1,;)5'
Water Meter
Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
This Application Becomes Your Building Permit When Approved
TOTAL DUE
Date
Paid
Date
-"1(O.OU
U- ;+-0 I
#
#
$
$
$
$
$
$
$
$
$ "7 b ' C!3
Recei~.j.{t N Iris~ q"3"'.j , 7
By y} _ -
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and maylpfoceed 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.
Building Official
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245