HomeMy WebLinkAboutBuilding 06-0965
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Date.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
L-..;
OWNER
(Name) vf)(i\..r k.
(Address)
1 While
Pink
Yellow
I PERMIT NO.Ob- f?51
File
City
Applicant
ZONING (office lIse)
PID
(:0-03/ ~
5-~.
(Phone) L./LI{)- J.) {O 7
BUILDER
(Company Name) rY\e...~ ~ fC('~-'^{'s. 1" /lC
(Contact Name) '&',.rrY J""rcL
(Phone) "I t:; a RJC1 Y - !;" 5a I
(Phone) (I \ )
(Address)
/Sr. ~J.l..
TYPE OF WORK 0 New Construction OOeck OPorch ~e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration o Utility ConnectlOn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
IV V
I M
3 4
A
R
5
o Mise
III
H
2
B
S
$
PROJECT COST IV ALUE
(excluding land)
U
x
I hereby certify that I hav' hlflllshcd mformation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner Ill" authonzed agent for the
,lbllve-mcntlOned proper nd t all CllnstnlctlOn wIll conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the buIlding
official can 'voke thiS pel t for cause Furthermore, I hereby agrcc that the Clty official or a deSIgnee may enter upon the propelty to perform needed mspcctlons
J()/dL/Ofo
Date
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
Bulidlllg Urtlclal
Date
QOL{~ 01'715
ontractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 7GJ --
~ 5"f I-
i. ~~,,- 1/ I ~&=. / '1~ ·
Paid
Date
ThIS IS to certify that the request 111 the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requeskd ThIS document
when signed by the City Planner constitutes a tcmpor.ll)' Certificate of Zonmg complIance and alllJws construction to commence Before occupancy, a CertIficate of Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372