HomeMy WebLinkAboutBuilding 06-0611
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7- / (J. U {p
1 White
Pink
3 Yellow
File
City
Applicant
PERMIT NO'l?iP. 6b / /
5032_
~/T lei t/C7L /<-0.
ZONING (office use)
Jif!-2..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs-: 004-. C/J 7. 0
(Phone) -CfJz - tfIo - L5b2- I
I
OWNER
(Name)
\Jo l-sr c{ \M
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition DAlteration DUtility Connection
ORe-Siding DLower Level Finish 0 Fireplace
CODE: ~I.R.C. DI.B.c. ~MiSC.
Type of onstnIction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
~.44 ~~
PRO~CT COST IV ALUE $
(excluding land)
JJ.JtLI
I hereby certify that I have furnIShed mformatlOn on this application which is to the best of my knowledge true and correct. I afso certIfY that I am the owner or authorIze,1 agent feJr the
above-mentIOned pro Tty and that aU construction wiU conform to aU exist10g state and local laws and will proceed in accordance with submllted plans. I am aware that the bUlld10g
"mc..' " ,'", ""1m" fm" '" Fm ""mmc. I hoeh""""h."h,,," oC",,' "" ,,,,",,, =,,",e< "'0" ", """'" '" ,,"',m ""':r'4'~1 0 b
Contractor's Ltcense No ( f rfJe
Permit Fee
2500,07J
$ 7'/,7S
$
$ ,2..5
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permtt Fee
$
$
$
$
$
$
$
$
$ 7~, 0 0
This Application Becomes Your Building Permit When Approved
~ ~.12~
BlIlidlll' OffiCial
7j,t!J(Ob
Date
ThIS IS to certifY that the request In the ab'Jve applicatIOn and accompanying documents is 10 accordance with the City Zoning Ordinance and may proceed as requcsted. ThIS documcnl
when signed by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
i."isucd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any