HomeMy WebLinkAboutBuilding 06-0663
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(2)
P -
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LEGAL DESCRIPTION (office use only)
7/2,'1/0 ,
~ f::w ~;;licant I PERMIT NO. 0 ~ - 0" 3\
ZONING (office use)
J.<c
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In"'"
LOT
BLOCK
ADDITION
PID
OWNER
(Name) O<::JI\) ~ Ma r 1
(Address) 5330 C \ c..dd-
k L,.... J ", r'"
.
;?t'\J<^-
(4:)
BUILDER
(Company Name)
(Contact Name)
(Address) J </0 I
K;...c ( 1'\ .~
<\rc.o"'A
~ Peck.A c..- iC .r;:.",J <:
,
L.-.u-'V1- , ~/
~/ l..\.Jc/
- Pr ~u."- L/}k,
(Phone) '3S-Z -'(~2Z3~
;O>,-..) --S.J-- J ?-?
(Phone)
(Phone)
(7(5-) <.cO - G J y-y
HI..- / S' liV
vJr
s-<t'O /t.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~e-Siding OLower Level Fimsh 0 Fireplace
o Addition OAlteration OUtility Connection ~Misc.
CODE: oI.R.C. oI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
IDIV
H I
2 J
V A
M R
4 S
B
S U
PROJECT COST /V ALUE $
(excluding land)
6]000.:;
,
I hL'Teby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above.menl1oned propertY and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
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X ~ 7:-- - ).03/?25?7- ~';;J/06
Signature Contractor's License No. ' 6ate
Permit Valuation
Pennit Fee $ 71..00
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Pennit Fee $
Mechanical Pennit Fee $
Sewer & Water Pennit Fee $
Gas Fireplace Pennit Fee $
This Application Becomes Yera Building Penmt When Approved
~~ 7/2..t(~~
Buildinl!. Otlicinl · Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7~,~
I ~;"'~" 1f2-
l Paid
Date
~~:lo~
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the CilY Zoning Ordinance and may proceed as requl'Sted. This document
when signed by the CilY Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CL'rtificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (9521447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372