HomeMy WebLinkAboutBuilding 05-0888
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
I PERMIT No~1~lj
File
City
Applicant
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ADDITION
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LEGAL DESCRIPTION (office use only)
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(Address) L LYv\...(...., ~ -'\)VL-
(Phone) 3S2-. - Lt L\ 0 - \ 4- 0 lo
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection
-Siding OLower Level Finish 0 Fireplace
CODE: i;u..R.C. OI.B.C. o Misc.
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $ 'lO(JO. GO
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished mformation on this application which IS to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authOrized agent for the
above-mentioned property and that all constn ction will conform to all eXlstmg state and local laws and will proceed in accordance with submltted plans. 1 am aware that the buildmg
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Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $ --
$.. TOTAL DUE $
I Paid ~- -~ ~~ce'Jl!J!1r18 ]
I
I Date ~ +15'
f
ThiS IS to certify that the request in the above application and accompanymg documents is in accordance with thc City Zoning Ordinance and may proceed as lequested. ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Ccrtlticate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-98511, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions. if any