HomeMy WebLinkAboutBldg Permit 02-0880
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File PERMIT NO
2. Pink City . Aft ') _ f::? <;f" D
J. Yellow Applicant V"\.., 0 v'
(Please type or print and sism at b_ ... _)
ADDRESS
3'-/36 !3a/salh '5f -SW) Pr,or ~ke fl)/1/ 5537)
,
LEGAL DESCRil'uON (office use only)
LOT//oBLOCK d-ADDITION ~-t- iLt~
r .
&'::e~~fP yo ~mmu bllan
(Address) 3'13.l 15;;hn: 5Ireef StJ
SCJfJddlL (lffhsiw-c-h'on C
RlcJlM, mdS5ee,
(Address) 3010 E. L/~ .l!um./ij),
BUILDER
(Name)
(Contact Name)
TYPE OF WORK
o Misc.
~eR.,
l
[ CLOSE ~'lLE
10/28/03 MP
ZONING (office use)
Jel
PIDQlS-/'l.;t -017-d
(Phone) 9.5) - Lfi/(J ~ ~897
(Phone) 'J5) -/lt13 '"9/00
(~ q5;'~ 'itJ3. 9600
,
ml/l 5537'1
,
'orch
ORe-Roofing
OAlteration
~Siding
OUtility Connection
. I hereby certifY that I have fumishel _ n' Jfmy knowledge true and correct. I also certifY that I am the owner or
e-mentionea property and that all construction will conform to all existing state and local laws and will proceed in accordance with
that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed inspections.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
~.,-' I
$ -;L/,7<1
$
$ / ;" OJ~
$ I
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I\ddition
(excluding land) S
Mr ~"1"I.
7 - /7-02.---
Date
$
$
$
$
$
$
$
$
$ 70.00
Receipt..No. J.f ;}"'.b- bd--
By (~'~.
U
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
8C-- 7:A5/
.f mmllesola 1-
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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
?I" .~1
7-!~-O;}-,
Paid
Date