HomeMy WebLinkAboutBuilding 05-0847
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
35Z9
ISl-/TND
Date Rec' d
f-7l0S-
White
Pink
Yellow
I PERMIT NO. OS-. 084-1 I
File
City
Applicant
Vr6W c-l12-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PIDZS": lee;. cJol. 0
OWNER- \
(Name) lOR... h-A--v'\. ,)0,"\.
(Address)
(Phone)
BUILDER
(Company Name)
(Address)
(Phone)
(Phone)
~ l~ ~ O;f 0 .~ 'i 3
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
I hereby certit)' th, I have hlrmshed mformation on this applicatIOn which IS to the best of my knuwledge true and COlTect. I also certlt)' that I am the owner or authorized agent Illr the
above-mentIOned pI' cr and t all construction WIll conform to all eXlstmg state and local laws and WIll proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke thIS er fo use Furthermore, I hercby agree that the City official or a deSignee may enter upon the propel1y to perform needed I spec ons
',-
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildll1!! Ofticial
Date
o Mise.
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
<:&>l
oj-
Contractor's License No. ate
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 $
ThIS IS to certifY that the request 111 the above application and accompanYll1g documents IS in accordance WIth the City Zonll1g Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zonll1g compliance and allows CLlnstructlOn to commence Before occupancy, a Certllicate of Occupancy must be
issucd
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