HomeMy WebLinkAboutBldg Permit 01-1232
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File I PERMIT NO ~
2. Pink City . ~) {- I ,"'"'L 3
3. Yellow Applicant L/ ,7,
(Please type or print and sign at bottom)
ADDRESS
2lhnQ 'V-ers\\\ 1\ COt. Sw
LEGAL DESCRIPTION (office use only)
LOT II BLOCK ADDITION S~0-/!YJo1J'h..- {JdA.J~ ;Ld--
I U
OWNER
(Name) 6te~e~ Ol"rYi-er
(Address) 3qlL,q --Pef~"i '0(\ S-\ SW.
\j
BUILDE;R.. .
(Name)-.U ~~-\-f"('\ r(\\f\~"\Yu..c1 \C\'f'\
(Contact Name) - -rT+f(,f\~(b~p~
(Address) \"' as G \.lL ~ \ \.Ie- Web-t
TYPE OF WOR!<
(Phone)
(Phone)
(Phone)
ZONING (office use)
R/SD
~
PID~--IO/-O/~
Qfxj-4i..ll-SO;J3
q~-(~-qLJLJR
o Porch ~e-Roofing ORe-Siding
lce OAddition OAlteration OUtility Connection
'ST IV ALUE (excluding land) S \.0"\ VJ rt _ (') ~
CLOSE FILE
o Misc. 10/28/03 MP
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~
~\loOI \ \
Contractor's License No.
:J5 ()(), .-
$7 Lf- 7~
$
$ Jr;)lJ
$
$
$
$
$
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid $q~,/vO
I Date /0 r ~l-O'/
This Application Becomes Your Building Permit When Approved
Building Official
Date
It) / 1cJ.D \
Date
# $
# $
$
$
# $
# $
$
$
$ 7'- ,00
Receipt No. !io'llJtJ'
By /1.-l ~
(j-
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