HomeMy WebLinkAboutBuilding 06-1020
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/4-iP s7
f?/UoU5
~.o e::t;: ~/ '--
Date Rel
II. 9.ot
White
Pink
J Yellow
I PERMIT NO. {,./ 02,0 I
File
City
Aprlicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
OWNER
(Name)
PID ZS'"". Z8fo. 0.32-. ()
(Address)
t;~~~~: Name) We. ~ ~~,J
I (Contact Name) P/J,.//1
(Address) ~? 00 - /3
y~
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditlOn OAlteration OUtility Conn
CODE: DI.R.c. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
(Phone)
(Phone)
/~, -~~/ -03 d I-
r1
e-Roofing
ton
ORe-Siding
o Fireplace
OLower Level Finish
o Mise.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
I hereby certify that I have turnished mformation on this applicatIOn which IS to the best of my knowledge true and COlTect. I also certIfy that I am the owner or authorized agent for the
ahove-mentIOned property and that all constructIOn will conform to all existIng state and local laws and will proceed in accordance with submItted plans I am aware that the huildIng
~Ilcial can revoke ths ermlt for Just ause Fu Imore. I hereby agree that the CIty official or a desIgnee may enter upon the propel1y to perform ,;~e4s6
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 $
This Application Becomes Your Building Permit When Approved
Buildll1~ Official
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
ThiS IS to certify that the rcqucst In the above application and accompanYIng documents is 111 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner Cllnstltutes a temporary Certificate of ZonIng comphance and allows nInstructlOn to commence. Before occupancy. a CertIfIcate of Occupancy must be
isslIed
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372