HomeMy WebLinkAboutBuilding 06-0449
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
53/. of&,
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White
Pink
Yellow
File
City
Applicant
I PERMIT NO. otP. 04-471
ZONING (omce use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER c:;;;t '-J
(Name) -~ EG /;;,.Xf ~
(Address)
(Phone) ~C' <:.fY7-' /<j'Cf 6"
BUILDER
(Company Name) ~,M~
(Contact Name)
(Address)
A5 OWtJ-E"Jl
(Phone)
(Phone)
Re-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection
[ hereby cntily that I have hlrmshed mImmation on this applicatIon which IS to the best of my knowledge true and correct I also certify that I am the owner m iluthonzed agent for the
above-mentIOned property ~ construction WIll conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can r' s permIt for Just caus urthermore, I hereby ilgree that the City official or a deSignee may enter upon the properly to perform needed mspectHlns
~J /ft~
r rDate
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BuildllH! Official
Dat~
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
Contractor's License No.
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~ 00
r
This IS to ccrtify that the request in the above applIcatIon and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City PIilnner constItutes a temporary Certilicate of Zonmg compliance and allows construction to commence. Before oecupilncy, a CertIficate 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