HomeMy WebLinkAboutBuilding Permit 06-1024
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Datt: Rt:c' d
I (/I?!O~
File
City
Applicant
I PERMIT NO. () to - (() z..'f I
White
Pink
Yellow
6fL' t) i-~ ~)6- --:1iL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
PID
BLOCK
ADDITION
OWNER
(Name)
(Phone)
dc/v.tlLI?; ~
-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) ILl f 30
J ::T~(Phone) L/t../o S ~/Cj
(Pb.one) Gf2- - f?~o z <9C::./
/l.-I c) I''L j ,,- h ~
p- A..J
i) ~-ri L--
TYPE OF WORK 0 New Construction ODeck OPorch -Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility Conne tlOn
CODE: ~R.C. DI.B.C. o Mise.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
+t ):('"
I hereby certify that I have hlrmshed formation on this applical10n which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent I"r the
lat II constructlOn will conform to all existmg state and local laws and will proceed in accordancc with submlttcd plans. I am aware that the buildIng
st cause Furthermore, I hereby agree that the City or:; ;r (CJ/r:;'.:i"l/"3 upon the propel1y to pertorm neede;'i:ljs? __ CJ ~
Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Fee
Water Meter Size5/8"; I",
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
Gas Fireplace Permit Fee
I Paid ~ ij" ,07)
Date 1\, 7/0r,.
I ~~"Ci~~U."'l/
This Application Becomes Your Building Permit When Approved
~~~
Building Urtlclal
11/13/oer,
I Date'
$
$
$
$
$
$
$
$
$
DO
,
ThiS IS to certify that the request in the abuvl' applicatlon and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThIS dl1cument
when signed by the Cily Planner coostilutes a temporalY Ccrl1ticatc of Zonmg compliance and allows construClion to commence. Before occupancy, .1 Certificate of Occupancy must be
isslIed
Special Conditions, if any
Planning Director
Date
24 hour notice for all iuspeetiolls (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372