HomeMy WebLinkAboutBuilding 05-0894
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/47/2.
Date Rec' d
tf,I J. &lJ
I White
Pink
] Yellow
File
City
Applicant
I PERMIT NO. &J-O 8t:l ~I
ZONING (office use)
CA'Z4e/~. ~;J.
;Z(
LEGAL DESCRIPTION (office use only)
![~
Pro 2-[ 7'51- "'2--+, ()
LOT I BLOCK L- ADDITION
tvrk4Z-l ~ (It vtJ
OWNER
(Name)
l5~
~-
(Address)
(Phone)
qG.:J- -lj4l- -5
I ~C~~~~~Name)~t~ -,~
(Contact Name) ~
(Address) I ;l4- W
TYPE OF WORK D New Construction DDeck DPorch
DAdditlOn DAlteration DUtility Con
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
(Phone)
(Phone)
t>(').- 7-)2. -li/'/b
-rJh
DLower Level Fimsh D Fireplace
D Mise.
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
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 Permit When Approved
Buildlll!! Oftlclal
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 $ ?~.tU
ThIs IS to certitY that the request m the above applicatIon and accompanymg documents is m accordance with the City Zoning Ordinance and may procced as requested. ThIS document
when signed by the City Planner constItutcs a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Ccrtlficate 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