HomeMy WebLinkAboutBldg Permit 01-1074
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File I PERMIT NO 'f I
2. Pink City . /'/- L () 7
3. Yellow Applicant . {L _ _ _.
51dO
a~ R/~
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 3 ADDITION ~etf
OWNER
(Name)
/jtr(/t.
BUILDER(l .....
(Name) ()f..) cen- 2: .;:rEJ!."'tC... ~~ ~ ~>.
(Contact Name) C::;:co,.r ~Lvtj.
(Address) 1;239; 73~/IK..f\J. ~ ~&:o((('
..-. ----.01,....,.;nn
o Misc.
~E
ZONING (office use)
PID
(Phone) 15.7.L{'17-0SS(.
(phone) Yt"3 -577-/90 0
(PhoneQ ).r;;ro -(o7WJ
~ S5$69
ODeck
OPorch
OAddition
ORe-Roofing
e-Siding
] Fireplace
OAlteration
OUtility Connection
fECT COST /V ALUE (excluding land) $
I hereby certi.. 1 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-mcl1uvu~" r-.. _ struction will conform to all existing state and local laws and will proceed in accordance with
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
perty to perform nee 1 ections.
x
Permit Valuation
Permit Fee $ -JLf, 7~
Plan Check Fee $
State Surcharge $ /, ;).!J
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
&!ra..o,;J.4b8-0()
q - ;)../&,-0 I
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '7~-w
1~~~~:!~e>OJ
I :"ir;LI!/,(}I/
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.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director