HomeMy WebLinkAboutBldg Permit 01-0827
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 0/
(Please type or print and sign at bottom)
ADDRESS \ I \" j t n
\5d-35 V\J\ \CAS -YClY'K.w~
,
LEGAL DESCRIPTION (office use only)
,
ADDITION u/~h dJUl
~~e~R L \ f:il \-\tx~ V
(Address) \ ~26 t.U\ \<1,5 ~ wy
BUILDER --r-., ( \. J ') tmC. (\ nA 1\ /
(Name)LW\ f\ _1-r-1 I ''':; ~ I......" ~J l 'aY;-+~ ~one)
(Address) ~~(:~ .S-\- f1~VLuJ), VYlf'j
LOT f d-BLOCK
PIDd5"-:3d-3-- tJ 1;)-0
(Phone)
qF{)- Jdtp -J 5,#/
(AS \ - &;?Jt;~q046
cenll 1-
TYPE OF WORK
o New Construction
ODeck
OPorch
.
~-Roofing
OAlteration
ORe-Siding
DLower Level Finish
D Fireplace
DAddition
DUtility Connection
D Misc.
PROJECTCOST/VALUE (excluding land) $ ~lSOO
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
;~~ P;';~~&; ~::'rm" fu'~D;~~~ h:~_ fu" m, ';o~~ ,'J;;igo~ =,
YSignature Contractor's License No. , Datf/
I Permit Fee $ 7tj,.15 I Park Support Fee
I Plan Check Fee $ I SAC
I State Surcharge $ /~~ I W ater M~r
I Penalty $ I
I Plumbing Permit Fee $ I
I Mechanical Permit Fee $ I
I Sewer & Water Permit Fee $ I Builder's Deposit
I Gas Fireplace Permit Fee $ I Other
This Application Becomes Your Building Permit When Approved
TOTAL DUE
$
/(0 EK?
,
40.;;U '-f
Building Official
Date
I Pai~/" ,CJO
I Date 9' }-n I
Receipt No.
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, fax (952) 447-4245