HomeMy WebLinkAboutBUILDING 06-0229
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-. 3, 06
1 White
Pink
3 Yellow
I PERMIT NO. 0(, . 02211
File
City
Applicant
ZONING (office use)
/5680 p/SIi P()/NT teLJ.
,e/
LEGAL DESCRIPTION (office use only)
LOT
Sc~T 3~
PIDZS: 93(,. o(PO. 0
BLOCK
ADDITION
OWNER
(N ame)
J(f?' Sc'h//MdCht'v
(Address)
(Phone)
b/,;J-?6CJ -S'~6'
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction DDeck DPorch
DAddition DAlteration DUtility Conn
CODE: DI.R.C. DI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
II II1IVVA
F HIM R
I 2 3 4 5
]I( Misc.
Re-Siding DLower Level Finish D Fireplace
WINnOWS / Slle~TleP~
/ /NS(/f.., 0
PROJECT COST IV ALUE $
(excluding land)
B
S
U
I hereby certify that I have furnished mformation on this application which 1$ to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
above-mentlo 'd pr perty a struction will conform to all eXIsting state and local laws and will proceed in accordance with submitted plans I am aware that the building
oftjcial can 0 IS per It for Just c rtherm re, I hereby agree that the City official or a deSIgnee may enter upon the propelty to perform needed inspectIOns.
Permit Valuation
Z600.00
$ .7S
$
$
$
$
$
I $
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
1.25
Building Permit When Approved
4h /0 t,.
I 'Date
Contractor's License No.
1(-3...{l;
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 $ '7&.00
Paid
Date
~(P.OO
,3. ~(p
I ~~ S~7'tJ
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. TIllS document
when SIgned by the City Planner CllnStltutes a temporary Certificate of ZOning compliance and allows construction to commence. Before occupancy, 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