HomeMy WebLinkAboutBldg Permit 01-1029
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9-18'0/
(Please tvI>e or Print and sign at bottom)
ADDRESS
Date Rec' d
I. White File I PERMIT NO
2. Pink City '/_/
3. Ye!low Applicant
58/7
ffl1::.O / /II rr C-- et 066 . I ;::A/V
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 2. ADDITION ~//lf~ I2IO(i6 Isr
I hereby certifY that I 1 to the best of my knowledge true and correct. I also certifY that I am the owner or
authorized agent for the above-mennoneo pm!,,,,,y am.. .,Uu. ~ w.._____.__ will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terz;;;~:;;orm needed inspections.
~ ~
,
OWNER
(Name)
(Address)
(Name)ElpdJ jJO..lA.JL
(Contact Name) fJtJ..I..I.JlJJ Ptr6-f; (\4
Z~a5 Lu ~~~. ~+
s) l5f iff ?LA: .'Jt:. I ,"-17,A) ~(;.p11
TYPE OF WORK
CLOSE FILE
o Misc. 10/28/03 MP
I Permit Valuation
I Permit Fee
Plan Check Fee
2.,500,0-0
$ . ,1./. 7~
$ .
$
$
$
$
I $
I $
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-
I. 2-..,
This Application Becomes Your Building Permit When Approved
yJ ~ q-lfJ-O J
BJil~cial Date
(Phone)
(Phone)
(Phone)
o Porch
1!fe-ROOfing
OAlteration
PID z5-ztJ9 -/12-3:0
'f 9:; - t' 7~/
ORe-Siding
OUtility Connection
#
~iZ~
$
$
$
$
$
$
$
$
$ 1(,. oz)
ce
OAddition
#
#
#
R~C~ 4t;JS'1' /
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
ST/VALUE (exc1udingland) $
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTALDUE
I Paid
I Date
'if/) . ()V
a- / r/ ~/J I
I ' J ,
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245