HomeMy WebLinkAboutBuilding 06-0468
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
&.$, Ore,
I White
Pink
3 Yellow
I PERMIT NO.~. O~~~
File
City
Applicant
.S'w
ZONING (office use)
3800
CiebBV /11a~H7..r ~I L-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER O~ ./
(Company Name)~ tJ(pr t M~f
(Contact Name) p t' ct_~ ;20 S ::> p ~
/
(Address)
(Phone)
(Phone)
t!S1---- ,fgg ~S67 g
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility ConnectlOn
e-Siding OLower Level Finish 0 Fireplace
r/ e;l4.:J V f:::)u Pt(
ItIIIVOOW Jee:7"Uf ~ t:.."-'r
CODE: OI.R.C. OI.B.C. )rf Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A JB E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrmshed InformatIOn on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
abovc-mentlOne - peny and that all construction will conform to all existIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
official can revet s permit for JU cause Furthermore, I hcreby agree that the CIry official or a designee may enter upon the propel1y to perform needed InSpectIons
{, ~ S---z>(p
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
l3uildlll!! Oftlcial
Date
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to certify that the request In the above applicatIOn and accompanying documents is in accordance WIth the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner ClJnstltutes a temporary Certificate of ZonIng ClJmpliance and allows construction to commence. Before occupancy, a Cerllficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372