HomeMy WebLinkAboutBuilding 06-0947
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
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LEGAL DESCRIPTION (office use only)
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ADDITION
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(Phone) (; I;) ,Yf;(; - 09-'>-
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(Phone)
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PERMIT NO. to -C{ 41
ZONING (office use)
up
PID 2.
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'{ t ""3 - S -77 - t"" 'd.. -;
C I "") - q b S" - L L' 6- 0
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Conn cuo
CODE: DI.R.C. DI.B.c. o Misc. -.--
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
1 m cd. mformation on this applicatIOn which is to the best of my knowledge true and correct I alsu certify that I am the owner or iluthonzed agent for the
d 1at all ClIO confiJrm to all eXisting state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
I f r Just CalL the City official or a deSIgnee may e pon the propel1y to perform needed mspectHms
x
\
SAC
Permit Fee
$
$
$
...-
Plan Check Fee
Water Meter SizeS/S";I",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
Paid
Date
~:(~~~0
Date
# $
# $
$
$
# $
# $
$
$
$ 430. '2,-'2....
\ ~~ceiPt No, ~~
Tim IS to certify that ' uest in the abov' pphcatlon and accompanymg documents is m accordance wIth the City Zoning Ordinance and may pmeeed as requested ThIS document
when signed by the City Planner ('( utes a temporary Certificate of Zonmg comphance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any