HomeMy WebLinkAboutBuilding (Kitchen Sprinklers) 06-0655
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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1 ~i~~e ~:~y I PERMIT NO. 0/-. 0 fR 551
3 Yellow Applicant , (VI.,
wcsnvooD ] ZONING (officeusc)
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at bottom)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25_ 130. 001.0
OWNER
(Name)
(Phone)
(Address)
I BUILDER
11~pany Name)
i'{€()'frt/l:ct Name)
(At.Wless) J 'l
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J'VI. I 0 Vv (l r f\ ('I,{: f ,/lu ~ c..::n ~./ ,j"" C
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{J~ It tJ 0-- G t'T JJ .~ rt1 ~ L;: Y"1,.J
(Phone) .
(Phone)
r~-<I'I J
~I 'L - 3 J 1- /1-11
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditwn ~lteration OUtility ConnectIon
ORe-Siding OLower Level Finish
Spt l "'-~
o Fireplace
CODE: DI.R.C. DI.B.C. o Mise.
Type of ConstnIction: I II III IV V A B
Occupancy Grou E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
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I hereby ccrti that I have rms cd 1 formation 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
above-mentlO ed property, nd tl at a c nstruction will conform to all existIng state and local laws and will proceed in accordance with submltted plans. I am aware that the building
official can re oke rl1lS p' mIl for Just ca. e Furthermore, I hereby agree that the CIty official or a designee may enter upon the prope11y to perform needed inspectIons
7 (1'- /0 C.
>:~.'.,., Date
x
CO'Ll
Contractor's License No.
Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE ~ 7. z./. Or, $
Date
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 TlllS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertllIcate of Occupancy must be
isslIed
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