HomeMy WebLinkAboutBuilding 05-1122
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3827
1'< €S/w- 51-
:5VJ
LEGAL DESCRIPTION (office use only)
LOT J BLOCK 3 ADDITION !f.J~ kL
OWNER -
(Name) -JOHt{
$KIIRl/rJS
(Address)
,-
i BUILDER
(Company Name)
(Contact Name)
(Address) 0
KUo-;r f/-mMIC~ CJff
'0 ,f-f) ,E. .El(j ~~ 5" (J;A('
yo ,L~/(Ma 't€ s;
Date Rec' d
I White
Pink
Yellow
I PERMIT NO. ()5 -; I d ~
File
City
Applicant
ZONING (oftice use)
~
PID d9S-0.23
(Phone) f5~ rYd 7S-S"S
(Phone) 7J~ J'~! g y-YtJ
(Phone) fs(,(;l tf'r 717 t
~~;f?/N~77",J M/!/ sr~ ~ ()
TYPE OF WORK 0 New Construction ODeck o Porch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Connection
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
o Mise.
B
S
PROJECT COST /V ALUE
(excluding land)
$
~ ft0J, d'-v
U
this, plication which is to the best of my knowledge true and correct. I also certify that I am the uwner or authonzed agent for the
conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
I hereb ree that the City official or a deSignee may enter upon the propelty to perform needed mspectlOns
~O/Y/f//O 1/-/O-tJ5
ThIS IS to certify that the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when Signed by the City Planner CDnstltutes a temporary Certificate of ZOl1lng compliance and allows constructIon to commence Before occupancy, a Certificate of Occupancy must be
['SSUCd
l~__.
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Plan Check Fee
State Surcharge
Penalty
! Plumbing Permit Fee
I Mechanical Permit Fee
hewer & Water Permit Fee
,
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
1311ildlll~ 011icial
Date
Contractor's License No.
Date
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 $ 70. ---
-1&. -:;; _I Reo,;p, No ~
J I" -oS By
~
Date
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372