HomeMy WebLinkAboutBldg Permit 01-0506
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5 - Z 'l,t) /
I, White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 0, '/69 to
.,,t
/. "zONING (office use)
~/s.o
(Please type or print and sign at bottom)
ADDRESS
IE6?d 0trf,/)vA7tr.N W
LEGAL DESCRIPTION (office use only)
LOT 17BLOCK
aDDITION /St-/hVo Vte?/
PID z.~ .
~~~R ;e/ci ~tu,~
(Address) /L;l)gd ~Aull'/)C:~ fJ7fe. IJIJ
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BUILDER~ j /i 'c /
(Name)~ miliA LLJ/1Sf. 0 ~ III r
(Address) (B() /0 E. 4 t1- !Iu-e,. /'
(Phone)
95;2 - tiC; 7- 'II;}
(Phone) 9 -5';< -
ShllkDDe6
. .
I./t; 7 ,,- ?(tJ b I
MlJ 5~~71
ODeck
J
ORe-Roofing
'/'
~e-Siding
OUtility Connection
TYPE OF WORK
o New Construction
OAlteration
o Porch
o Misc.
OLower Level Finish
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. am aware that the building official can revoke this permIt for Just cause. Furthermore, I hereGty agree the city offiCIal or a deSIgnee may
~teruponth p per:toperD ~neededinLkkfL- '7~ 1/7~/ 0 I
gna~ ' '- Contractor's LIZ Date .
: '7~S I PackSU:JrtF ,~ :
$..- r te Si ~,; $
I. L5 ;r:-r~
: w:,/~~~ct~# :
$ I Water TOW~~u ~ ... # $
$ I Builder's Deposit $
$ I Other $
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Fireplace
OAddition
j O()
PROJECT COST IV ALUE (excluding land) $ ~,/ X () .
$ ~fe .UO
1f;'
I Paid 7& (/V RByec,ei ~9' 39" +- 2-
Building Official Date I Date C~ ~- () I /
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and miY proceed as requested. This document
when signed by the City Planner consti!utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
This Application Becomes Your Building Permit When Approved
Planning Director
TOTAL DUE
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245