HomeMy WebLinkAboutBldg Permit 01-0965
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and simt at bottom)
ADDRESS
/6e(p3 urtc; ~.
LEGAL DESCR.1.t'TlON (office use only)
ADDITION ",YP/lb11i Lab. ~)Vo:Ztz;ID~-OI(P-2-
~ J
, -.\ t111 d J cJ .,y ~ne) .9SZ, {t'- V 7-JJ ;)(., C.
~/me. ~tP ;::?f?JO~~ LA-Y,.c: /h/~n'~?~
I .. - - ,.
LOT
BLOCK
C= (J /CR'7
. -
/(pgG;?
//(AddreSS)
BUILDER
(Name)
(Contact Name)
(Address)
......-- -...".
(,....TypEOF~
~
o New Construction
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land)
DAddition
Date Rec' d
f---S-() /
I. White File
2. Pink City
J. Yellow AppHcBnI
PERMIT NO. 0/ - tJf~5
ZONING (office use)
,e..t~O
(Phone)
(Phone)
o Deck
,
~e-ROOfing
DAlteration
.
DPorch
o Fireplace
D~ty Connection
.",.Ii that I om tire "''''' '"
10 ws . proceed in accordance with
y agr~ ity official or a designee may
.-- f r". ./
=NO~. # I~Q
$
$
$
$
$
$
$
$ '1(p .00
I hereby certify that I have furnished information on this application which is to the best of my knowledge
authorized agent for the above-mentioned property and that all construction will conform to all exis .
submitted plans. I am aware that the building official can revoke this permit for just cause.
;ter upon the propelf rrform neede(J:;;t '
LY~!
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
'Z-,5l)O.OO
1~ 75'
/.~r
Your Building Permit When Approved
'1. ~ . () ,
Date
SU
IS ~
I Water 5/8"; 1";
I Pressure r
I Sewerl er Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
I Paid
I Date
7ft). 00
q - 5..:::f) /
, ,
Rec~4-a
By T'-' --
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