HomeMy WebLinkAboutBuilding 06-0881
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
~~kl"1- f.r'\,"
LEGAL DESClUPTION (office use only)
LOT
BLOCK
ADDmON
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec'd
9. 2.8; 06
~:.t Sico. I PERMIT NO. 0(,. aes/ I
4- (/,4//1) I ZONING,__, I
PID
(Phone) (q)~ 890 - q I } 7
-~ 337
f{x." (, ''6 .i
(phone) (t:...-7) L{J 7- I{ { f f.
(phone) {tAtvtL
:3'"b 3:S
TYPE OF WORJ{ 0 New Construction ODeclt OPorch ORe-Roofing
OAddition OA1teration OUtility Connection 0 Misc.
CODE: OI.R.C. ol.B.C.
Type of COIIItl'adion: I
Oct'UpaIICy Group: A B E
DiYisioa:
u mlVVAB
F HI MRSU
1 2 3 4 5
o Fireplace
PROJECT COST/VALUE S 2 3i ~ 0
(excluding land)
I hereby certifY IlIA, I haft fiarnisMd information on this application which is to the best of my knowJedar trUe and com:ct. I aIJo mtify IllAt I am the owner tit' authoriml aacm fOt the:
above-mmbOncd JlI'OPft1Y and IllAt aU constrUCtion will confcnn to aU existina state ancIloc:aJ Jaws aDd will PfOCftd in ac:t:llC'IIaJI< with submitted plans. I am aWM IllAt the: bulldinc
offICial c e this pmnlt foe j cau. FurthmllOl'e, I hereby atlI'et' that the city officla1 Ot a ~lgnee may enter upon the propmy to perfbrm needed lrupcctlons.
X z.u2.'1 "2tn<7 5/~' /07
Contrli:tor'. License No. )jate
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Pireplace Permit Pee S
This Applkation Becomes Yoar BaiItIlna PerBIit WJaea AppIOftll
Buildinll Official
Date
Park Support Pee tl- S
SAC tl- S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Fee tl- S
Water Tower Fee tl- S
Builder's Deposit S
Other S
TOTAL DUB S 1$2.00_
~
rHO. :sWf?r
I ~~: If~t
nus is to mtify that the request in the: above application and aco:ompanyina cJoc:ummlS is in ac:conlanc:e with the City Zooin, Ordinance and may proceed as 1'eqUC.'Ikd. This document
whc:n signed by the City Planner constitutes a tmJporary Cmlficate of Zooin, cornpllance and aUows COlISlrUction to COtIIIIIma. kl'ore QC(Upancy. a Certificate of Occupency must be
issued
PIamIins Dlreca
iflDY
Date
24 hoar notice for allln.peetlon. (9S1) .u7-98~, fax (951) .u7..c24S
16200 Eagle Creek Avenue Prior Lake, MN 55372