HomeMy WebLinkAboutBuilding Permit 06-1055
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
/ 4-&01
Date Rec' d
II . ZZ. Of,
I White
Pink
Yellow
I PERMIT NO. ~ . 10551
File
City
Applicant
ZONING (office use)
B ItA lJ &e tel 0 ere
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
7YU-
PID 25"". Z
(Phone)
(Address)
BUILDER -r)
(Company Name) Wt5 { t.A ~~
(Contact Name) ,t:)ArJ/t /f
(Address) rrJ'ClO - / '3 T;(. /J vi jV
763 -54/ - d '3 tJ '1
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Conne I
CODE: DI.R.C. DI.B.c. o Mise
Type of Constmction: 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: 1 2 3 4 5
I hereby certIfy that I have furnished mformation on this application which is to the best of my knuwledge true and correct. I alsu certify that I am the oWller or authonzed agent for the
ab,we-mentlOned property and that all Clmstructlon Will COnfl)lm 0 all eXlStrng state and local laws and will proceed in accordance with submitted plans I am aware that the buildrng
~'ljCial can revllke tlm permit for Just se hermore, I her agree that the CIty Offi~ d~;e;~ ;;~ t~ropelty tll perfl)rm nee~; ~ 6
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
Ilulidlllg Uflicla[
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
I $
$
$
Water Meter Size 5/8", I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
Paid
Date
l~~-
/1. ...l,j ~(p
J/tNO
ThIS IS to certify that the request 1I1 the above applicatIOn and accompanYlllg documl'llts is in accordance with the City Zuning Ordinance and may procl'ed as requested ThiS document
when signed by the City Planner constItutes a temporal)' Certificate of ZOl1mg compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
i."islIl'd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ~~7-9850, fax (952) 4~7-~245
4646 Dakota Street Prior Lake, MN 55372