HomeMy WebLinkAboutBuilding Permit 06-0364
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~: 9. f)t
I White
Pink
Yellow
I PERMIT NO. O~:J. tt5ft4-' I
File
City
Applicant
(Please
ADDRESS
ZONING (office use)
!5~L-j5
5
fCI
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID zS 37&.030.0
OWNER
(Name)ffini-e..-I Huh Mo.n Y'\ I ,)e<ln;,'"\l" HnhmCi(\(\.
(Address)
(Phone) q S ;). - Lj '-I () L/ en8 d
'S
BUILDER
(Company Name) 5<:../ -+
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: B.R.C. OI.B.C. o Misc.
Type of 0 stmction: 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
I hereby certify that I have furnIShed mformatlOn on this application whIch IS to the best of my knowledge true and COlTec!. I also certify that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
llt1lcial an revoke this permll for Just causc Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlOns
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
Date
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 ~7:J 5./l tit,. $ /0/7.1/
~lffd8
~~ceiPt No. ~~300
Paid
Date
This Application Becomes Your Building Permit When Approved
Buildll1~ Ofticial
~~
5/;()1o"
Da'te
ThIS IS to certify that the request in the above applicatIon and accompanymg documents IS 10 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg complIance and allows construction to commence. Before occupancy, a CertIficate ()f Occupancy must be
isslled
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
~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
INSPECTOR DATE
, FOOTING I~;tf I Co~ { --Gt9 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I I
I FINAL I (l5 I //1.<1) I
/
FOR ALL INSPECTIONS (952) 447-9850