HomeMy WebLinkAboutBuilding 06-0337
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5,Z.O~
(Please
ADDRESS
/5 {/;;..5 '9
Or/6e;H
I White
Pink
Yellow
PERMIT NO.C;t;J.. ():5:,~7
I
ZONING (office use)
File
City
Applicant
~1/L-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID z.~ L~ u,-1. (X1 ()
(Phone)
(Address)
II BUILDER /t C ..
(CompanyName)~DINAi- ~TER(QtZs'
\ (Contact Name) ~,e%: ~ t.-\IV'Z S'Q c-J
(Address) +)....1 2-~,Llvt:. t.. S' ft1;l(<or'e.L
(Phone)
(Phone)
'r~L ~-g6308
0/1-- u 7 - l.b b J..
~~"f 'i
TYPE OF WORK 0 New Construction ODeck OPorch -Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration o Utility Conne IOn
CODE: DI.R.C. DI.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
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certifY that I have furnished mt(lrmation on this applical10n 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 all construction will COnf(lrm to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
official can revoke thIS permit for Just use urthermore, I hereby agree that the CIty official or a deSignee may enter upon the propel1y to perform needed Inspections
X ;,..,- - ~- 2-- t'-
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
Date
Huildll1g Otlieial
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 applicatlon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner con:;tltutes a temporary Cerllficate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372