HomeMy WebLinkAboutZoning Permit 05-0005
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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KNOLL- 12/06t;'
Date Rec' d
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I White
Pink
J Yellow
File
City
Applicant
I PERMIT NO (}5~ oc-:
olC/vE NW
ZONING (office use)
~/SD
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK I ADDITION !Vo,e;m ftlOOO CJ/f't::S 6S'T7::J7'l5$ I s:7
PID 25. 3&6. ODZ.O
OWNER- A.f"'- ., ^ J I
(Name) \J \'\\ \ L. P ">, I 'rli \ 1'"1 ~\i ~l( ,')1 ~
(Address) J
(Phone) frC 2 )4L() - 30Ltl
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn o Alteration OUtility ConnectIon
CODE: DI.R.C. DI.B.c. ~MiSC. S\t\ec\ 9;(/0
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certify that I have hrrmshed 1Oformation on this applicatIOn whIch IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authonzed agent for the
ahove-mentlOned property and that all construction will conform to all existing state and local laws and will proceed 10 accordance with submltted plans I am aware that the bulld10g
offiCI can revoke tillS permit for Just cat e Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propel1y to perform needed 1Ospectlons
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
f-Mechanical Permit Fee $
Sewer & Water Permit Fee $
L Gas Fireplace Permit Fee $
omes Y OUT Building Permit When Approved
!I-t-ar-
Date
Contractor's License No. Date
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 $
Paid Receipt No.
Date By
ThiS lS to certify that the request in the above applicatIon and accompanymg documents is 1I1 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporary Certificate of ZOning compliance and allows construction to commence Before occupancy, a CertIficate 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