HomeMy WebLinkAboutZoning Permit 06-0011
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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City
Applicant
FEAlce
I PERMIT NO. 0".00/ I
(Please type or print and si~n at bottom)
ADDRESS
5854- U1/00//v/:tL- b09"e /,eA/L-
ZONING (omce use)
PilL)
LEGAL DESCRIPTION (office use only)
LOT /6> BLOCK .3 ADDITION ~/N~'- ~09~E 1ST.
PID 2S. 2-97 0470
OWNER
(Name)
~/.oL/6,VI
/YI/ tJ/-I/J E: L-
,-
/-I/V~E-55A
(Phone)
6 p-- 9 uLJ-I],~(,3
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
ORe-Siding OLower Level Finish 0 Fireplace
CODE: OI.R.C. OI.B.C. XMiSC
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
F&/,/e6
c? i /1/tJOL)
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnished I formatton on this applicatIOn which 15 to the best of my knowledgc true and correct. I also certify that I am the owner or authOrized agent for the
above-menttoned property and a construction WIll conform to all eXl5trng state and local laws and will procccd in accordance with submltled plans, I am aware that the buildrng
offIcial can revoke t permIt I' JU cause Furthermore, I hereby agree that the CIty offIcial ()f a deSIgnee may enter upon the property to perform needed rnspeetlons,
x
Contractor's License No,
&-O~l~
Date
Builder's Deposit
Other
# $
# $
$
$
# $
# $
$
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
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
5. i O(J;)
Date
Paid
Date
$ - /
$~
/
Receipt N if
By
TOTAL DUE
~
e mes Your Building Permit When Approved
/
T~ 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 requcsted. This document
"hcn signed by the CIty Planner constitutes it temporary Ccrtitkatc of Zonmg compliance and allows constructIon to commence. Before occupancy, it Ccrtlticatc of Occupancy must be
issued
Planning Director
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any