HomeMy WebLinkAboutZoning Permit 06-0008
CITY OF PRIOR LAKE~ING PERM~ Date Rec'd
TEMPORARY CERTIFICATE Z NING COMPLIANCE ~ I.Z~ ~b
AND UTILITY CONNEC lUlo.j t'~K1V.tT ?EN~
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. d(p. 0008
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
/'1'-538
~v
Jet
5L.c ,,<!.;.?~~v
I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 300, 0/3. ()
OWNER
(Name)
6,-:z.-;:-
E~4 C!,.t...
(Phone)
(Address)
04/l-;?,,;F
BUILDER
(Company Name)
(Contact Name)
(Address)
I::=~N(!.- C'<,)
;z)/?A./ ~SS. /??-9-N
/ / '7'73 -<"06 ;nv 5/"
(Phone)
(Phone)
~... /'!
75';;;- fr~7 - 5J-8 v
G/? - 8C:;9- s:.:3G~-
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
ORe.Siding OLower Level FinIsh 0 Fireplace
CODE: DI.R.C. DI.B.c. 1i1iSC
Type of Construction: 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
4-1 ~/;./ L-/N/G
PROJECT COST IV ALUE $
{excluding land}
I hereby certify that I have furmshed mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzcd agent for the
abovc.mcntlOncd pl\lpcrty and that all Cllnstrllction will conform to all existing state and local laws and will proceed in accordance with sllbmllted plans, I am aware that the buildmg
official can rev . t is permit for Just calise Furthermore. I hereby agree that the City official or a deSIgnee may enter upon the property to perform needed mspectmns,
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Signature
~/~ y/tJ..c
Contractor.s License No,
Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace PermIt Fee $
Park Support Fee
SAC
#
#
Paid
Date
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
I
-+
Burldlllg Onlcial
Date
ThIS IS to certify that the request m the above applicallon and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested, TIllS document
when signed by the City Planner constItutes a temporalY Certificate of Zonmg compliance and allows construction to commence, Before occupancy, a Certltic,1te of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions. if any