HomeMy WebLinkAboutBuilding Permit 06-1059
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~Jf(Jl/v
Date Rec' d
/1127 r"
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Ol4 -/0 f:/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) '37 OJ
(Phone)
(Phone)
(Phone) ~jl- Pt? J / Cf?
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level finish 0 fireplace
OAddition OAlteration OUtility nnectIon
CODE: ~.R.C. DI.B.C. o Misc.
Type of onstmction: 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 Information on this application which is to the best of my knowledge true and correct. I also certify that I Jrn the owner or authOrIzed agent for the
above.mentlOned property and that all cunstructlOn will conform to allexIstmg state and local laws and will proceed m accordance with submItted plans. I am aware that the buildmg
official can revoke rmIt fin Just cause Furthermorc, I hereby agree that the City official or a deSIgnee may enter upon the propeIty tu perf()rm needed mspectl<Ins.
//--27-06
.
x-
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
l~~
I ~OrtlClal
1(/41" 10
/ Dati
'Zoo"j jOD 7
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 7G .00
Paid
Date
Receipt No.
By
ThIS IS to certify that the request in the abovl' applicatlon and accompanYlIlg documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner l'llnstItutes a temporary Certlficate of ZOning compliance and alluws ClInstrUCtlon to commence Before occupancy, a Certificate llf Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour lIotiee for all illspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372