HomeMy WebLinkAboutZoning Permit 06-0008
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE O,;~ONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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City
Applicant
PERMIT NO. {;f;:; .0006
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
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MN
LEGAL DESCRIPTION (oflice use only)
LOT
BLOCK
ADDITION
PID
OWNER
'(Name)
(Address)
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(Phone)
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BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch ORe, Roofing ORe,Siding OLower Level FinIsh 0 Fireplace
OAdditIon OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B,c. )I Mise.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
IO)(/Z- ,sHeD
PROJECT COST IV ALUE $
{excluding land}
x
mform tlOll on this applicatIOn which 1$ to the best of my knowledge true and COlTect. I also certIfy that I am the owner or authOrIzed agent for the
11 cons 'uctUl!1 WIll conform to all eXIstIng state and local laws and WIll proceed in accordance wilh submItted plans I am aware that the building
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Permit Valuation
Plan Check Fee
$
$
$
$
$
$
$
$
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 $ /~
l/./
Paid Receipt No. ./
Date By
Permit Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application ~ o'J.r Building Permit When Approved
~ " n~ UJ/z ?~Co
lluildll1g Unicial I Date I
ThiS I."i to certify that the request m the above apphCJtlOl1 and accompanymg documents is 111 accordance with the City Zoning Ordinancc and may procecd as requested ThiS dllCumcnt
when signed by the City Planner cunstItutes a temporary CertiflCJtc uf ZOl1lng compliance and allllws cllI1structinn to commence. Before llccupancy, a Ccrtltl.catc of Occupancy must be
isslIcd
Planning Director
Date
2-t hour notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any