HomeMy WebLinkAboutReRoof 06-0535
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
-----
I PERMIT NO. o&.-5?~
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
/591g
~;( E/YlOIJ~
I
LOT
ADDITION
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tj~IDdS-~,/q, C:)(II~
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
~~
~/(~
(Phone)
(Address)
(Phone) f 7 J.-- 6 C)) 3-
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch
DAddition DAlteration o Utility Conn
DLower Level Finish
CODE: DI.R.C. DI.B.C.
Type of Constmction: I II III IV V
Occupancy Group: A B E F H I M
Division: 1 2 3 4
o Mise.
Permit ValuatIOn
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have furnished mformatlon on this appliqtlon which IS 0 the best of my knowledge true and cOITeet. I also certify that I am the owner or authOrIzed agent Il)r the
ah,)ve-mentlllned property and that all cunstrllctlOn WIll conf m to all eXlS ng state and local laws and will proceed in accordance with submItted plans I am aware that the hlllldmg
official can ITVO - IS pcrmlt for Just cau rthermorc, I ereby agree t t the City official or a deSIgnee may enter upon the prope11y to perform needed tnspcctlOllS
x
Zu?/6(j7(~
Contractor's License No.
6-/7,06
Date
This Application Becomes Your Building Permit When Approved
Paid
Date
fc. ;;
- '/ - (,..,
# $
# $
$
$
# $
# $
$
$
$ &.
I ~~ce~'5/7q8'
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water ConnectIOn Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Hulldlllg Urtlcial
Date
ThiS IS to certify that the requl'st 1Il the above application and accompanYll1g documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
\vhCI1 signed by the City PIilnncf constltLitcs a temporal)' Certificate uf ZOl1l1lg complIance and allows construction to commence Before lJCCllpancy, a Certificate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (9S2) 447-98S0, fax (9S2) 447-424S
16200 Eagle Creek Avenue Prior Lake, MN 55372