HomeMy WebLinkAboutBuilding 05-1039
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'YCft I
Pct~ X
Date Rec' d
/0. /8.oS
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05./0.37
r'l ev l-ri!( c AA j/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z.S"."37.5. lJ ~ z'r ()
~,:,;;~R,( R 0 +- 0 tl1bc"y-<>-
(Address}
/' 4=F- L'
-:7 ('6 ( , / J f) 0( ~1 (Phone)
Y 77- 5 13 (f-
...,
9{;2 /
,
I BUILDER
I (Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility ConnectIOn
o Fireplace
CODE: DI.R.c. DI.B.c. ){MiSC ~l9nH ~7tJP5WOJt:.-V .
Type of Construction: I II V A B PROJECT COST /V ALUE $ 7/; 2 <i J .1 (
Occupancy Group: A B E F M R S U (excluding land)
Division: I 4 5
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
BuildllH! Omcial
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 $ '1(' . 00
,
Paid
Date
7~.ov
/0. 8. Dr-
Iff No
.5/)3 Z. "Z.-
ThIS IS to certify that the request In the above applicatIOn and accompanymg documents 15 In accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner CllnStltutes a temporary Certificate of Zoning compliance and allows constructIon to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372