HomeMy WebLinkAboutBuilding 06-0946
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Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n\Je-~(c.s
\ \
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I White
Pink
Yellow
File
City
Applicant
I PERMIT N00.....1-40
ZONING (office use)
Pub
\J{6-u
Q: Aou .
PID 2~-
P V I O. ,r-' I,~. ~.~-' (L C:--
I o'd. 'q b <t ~ "" ~ :"S-f LJ
(Phone) (I:> - -::?? L - '" "l C?-I
i ,. ~<, u, \ \ e.., '^^ N S 5' G ~\ vi I
(Address)
BUILDER
(Compan A /\1\ ()
i (Contact Name) --:s:: it- "'"
I (Address) J d.. <"'1 ::;2 /
TYPE OF WORK 0 New Construction DDeck DPorch
DAddition DAlteration OUtility Con
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
2 3 4
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
1.
-
Sewer & Water Permit Fee
LLG
7& '3
7 & 3 ':5 /7
G I d -. 9 ~. 'S '
ve
N.
Re-Roofing
ctlo
ORe-Siding
OLower Level Finish
o Fireplace
o Mise
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
Date
Park Support Fee
SAC
#
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
# $
$
$
# $
# $
$
$
. 7.2- $
\ ~~ceiPt NO~b~ ~
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
t Paid ~r~D.*
Date 0 (( G::>
Tim IS tll certlly that the 'uest 111 the abllve appllcatllln a l mpanY1l1g documents IS 111 accordance wIth the City lllning Ordinance amt may pmceed as requested Tim dlleument
when signed by the Crty Planner < ry CertifIcate 01 lon1l1g compliance and allllws construction to Cllmmence Bcfllle llccupancv. a CertIficate III Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372