HomeMy WebLinkAboutBuildign Permit 02-1205
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
fI- 20 ~CJ2-
1. White
2. Pink
3. Yellow
File
City
Applicant
PERMITNO~~_/ZO~
ZONING (office use)
bG
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER It ,
(Name) '~"'~ r1 ~S (Phone)
(Contact Name) ---M,V.e V ~l~L (Phone) ~ -
(Address) r~'TS ~ltt.t<( ~{l\~~ Ju. \-~C 2eo I ELL "at4 ; MAJ SS'I2. 7.
o New Construction
ODeck
o Porch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
Ob- 441~
4Ob= 44-/()
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application 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-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. ~ war.e t e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u the p e . 0 ern m d inspections.
X ' "-1'1-02
Permit Valuation /
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
LB7- PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Date
$
$
$
$
$
$
$
$
$
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 Zonmg compliance and allows construction to commence Before occuyaeq, a,~rt1!iiate of Occupancy must be
Issued.. ;A~ rN.A.b-t .tK, b ~..V'TU'\
. qjz-'1 JbL ~U 1T \fN. ~J~Lht.. ~
, Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372