HomeMy WebLinkAboutBldg Permit 01-0937
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1- 2-'1-tJ /
I. White File I PERMIT NO.
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
3l~
1?",,1'Ier~f-
L,lr
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID?5-Ic.J.-I - ooq- ?
OWNER
(Name)
riNkS o~k"5
5~e.-
(Phone)
CfLt 1"" :J (; J Jl
(Address)
BUILDER
(Name) ~ r'\ CtaJ,..., _~(y
(Contact Name) &f/f"!)O ,,~fL- AlA!. AJ-
(Address) /J l'l"1-tJfA-7"--. ",,-;1/ S-Sq'( /
,
(i31'eI1f)
(Phone) 7<= J - 5rl--03a l(
(Phone)
TYPE OF WORK
o New Construction
~
DDeck o Porch 'jlRe-ROOfing ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ 10, 70 Y
OLower Level Finish
o Misc,
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
2/.500,,00
$ 74-. '7S
$
$ I. z~
$
$
$
$
$
TOTAL DUE
$
$
$
$
$
$
$
$
$
7(,.00
F
~/;J-
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~YOmB""Wng;:;;;;;
Building Official Date
Paid /,?{p. O-V
Date . PI ..~-(1/
Re7P.ei .'
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