HomeMy WebLinkAboutBuilding 06-1073
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2-. /~ ofo
(Please type or OIint and sie:n at bottom)
ADDRESS I u r 7 z-
1 White
Pink
1 Yellow
File
City
Applicant
I PERMIT NO. ~.I073
j7l./11 L-
ZONING (office use)
WI t--O b/c..N 6"' J J
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
(Phone)
(Address)
e;rh'l'o/, S
(Address)
0h3
(Phone) qi)Z - o/f/.j-- 8& 3(
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectlOn
Re.Siding OLower Level finish 0 Fireplace
I hereby eertity that I have hlrnlshed mformatlon llO this applical10n which tS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent tor the
abovc-mcntlllncd propcrty and that all constructIon Will eontelfm to all eXlstmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
otlicial can revoke thlS permIt for Just cause Furthermore, I hereby agree that the Clty official or a deSignee may enter upon the prope11y to pertc)rm needed lI1SpcctltlnS
_~2 713117
Contractor's License No.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
III
H
2
IV V
I M
3 4
A
R
5
I
E
II
F
I
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BlIildlt1~ Urtieial
Date
o Misc.
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I z -/-06
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 $ 7&. 00
TI1l.S 1S to certify that the H-'quest in the above applicatiOn and accompanY1l1g documents IS in accordance with the City Zoning Ordinance and may pn>cl'cd as requested Th1S document
when signed by the City Planner constItutes a temporary Certificate uf Zonmg compliance and allows constructIOn to commence. Bcfnl"e occupancy, a CL'rttficatL' tlf Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372