HomeMy WebLinkAboutZoning Permit 06-0003
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
J Yellow
File
City
Applicant
\ PERMIT NO. CJ0~ 31
(Please !rile or Ilrint and si~n at bottom)
ADDRESS
'SW \ WI\ \D~ ~e..c..L\r-.. \~ ,\
ZONING (office use)
Sw
LEGAL DESCRIPTION (otf1ce use only)
BLOCK
PID
LOT
ADDITION
OWNER.--
(Name) ~C)"'v-
~ _ ~e \t,,~~ ((1-
(Phone) !:> &( - L\ ") 0 - <"6 Lt s: Lf
(Address)
BUILDER
(Company Name)
(Contact Name) _
(Address)
(Phone)
(Phone)
J
CODE: OO1.R.C. OI.B.C. o Mise
Type of Construction: I II III IV V B
Occupancy Group: A B E F H I M S U
Division: 1 2 3 4
ORe-Siding OLower Level Finish 0 Fireplace
25'.~!;J./ c!Jhed
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
PROJECT COST /V ALUE $
(excluding land)
t e best of my knowledge true and correct I also certify that I am the owner or authoflzed agent for the
g state and local laws and WIll proceed in accordance with submltted plans I am aware that the buildmg
~"J ,,:\lcl~: ~; ,; J~"'b..ee may enter upon the property to perform needed mspectHlIls.
Contractor's License No.
Irmit Valuation Park Support Fee
1 Permit Fee $ SAC
\ Plan Check Fee $ Water Meter Size 5/8"; I";
\ State Surcharge $ Pressure Reducer
I Penalty $ Sewer/Water Connection Fee
!
I Plumbing Permit Fee $ Water Tower Fee
I
I Mechanical Permit Fee $ Builder's Deposit
\ Sewer & Water Permit Fee $ Other
l Gas Fireplace PermIt Fee $ TOT AL DUE
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- BlIildm~ Ofticial
Paid
Date
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This Application Becomes Your Building Permit When Approved
Receipt No.
By
I
~/UJa
ThiS IS to certify that the request m the above application and accompanymg documents IS 111 accordance wIth the City Zoning Ordinance and may proceed as requested. ThIS documcnt
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence. Before llCcupancy, a Certificate of Occupancy must be
isslIed
{pwo~
~~
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372