HomeMy WebLinkAboutBuilding 05-0736
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
6", I. OS
1 White
Pink
Yellow
File
('it\!
Arrlicant
I PERMIT NO. O!;;~ (J 730 I
n at bottom)
ZONING (office use)
/~Z33
e~./7/vf7lJA/
/f(/e~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 00/. 008.0
OWNER
(Name)
:) \.eU'€ V\
w-r"J'h+-
(Phone)
6/Z. <//1' 861 '7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
-Siding OLower Level Finish 0 Fireplace
CODE: OI.R.C. OLB.C. o Misc.
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that 1 have hlrOlshed mformatio!1 on this application which is to the best l)f my knowledge true and COlTect I also certify that I am the owner or authOrized agent for the
Jbove-mentlOned property and that illl construction will conform to all existlOg state and local laws and will proceed in accordance with submItted plans_ I am aware that the buildIng
()fflCial ca v k' JlIst calise crmorc, reby agree that the CIty official or a designee may enter lIpon the propeJ1y to perform needed msp, 'ctIons
" <:"~
a.:;
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
i Gas Fireplace Permit Fee $
Iluildl11g Ullietal
Date
This Application Becomes Your Building Pennit When Approved
ITlm IS tu certIfy that the request 111 the abuve appllcatlun aud aceumpanymg ducuments is m accurdance with the City luning Ordmance and may pruceed as requested. Tim ducument
I when signed by till' CIty Planner (nnstItlltes it temporary CertIficate of ZOning compltance and allows construction to commence. Before occupancy, a Certifi.cate Dr Occupancy mllst be
I Issued
,
Planning Director
Date
Special Conditions, if any
24 hour notice for all iuspections (952) 447-9851l, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372