HomeMy WebLinkAboutBuilding 06-0939
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Date Rec' l..
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I PERMIT NO.6t, -0'7311
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
'{el1ow
File
City
Applicant
(Please
ADDRESS
n at bottom)
r"
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
,A/W
(Phone)
,t/r. 0 r,.. / ~<-
(Address)
PID
ZONING (office lIse)
<)... /.,c
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: IXlI.R.c. DI.B.c.
Type of Co~strnction:
Occupancy Group: A B
Division:
o Mise. _
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
x
I hereby certify that I have furmshed lIlfnrmation on this applicJoon WhICh IS to the best of my knowledge true and correct I also certify that I am the OWlln or authOrIzed agent for the
ahllvt'-mentlllned property and that all cllostruction WIll conform to all eXlStlllg state and local laws and will proceed in accordance with suhmItted plans I am aware that the hllildlllg
llfllCl,t1 can revoke t s permit for lust caust' Furthermor' erehy agree that the CIty official or a deSIgnee may enter upon the propel1y to perform needed lIlSpectlons
~4.
Contractor's License No.
Permit Valuation
~tnOO
Park Support Fee
SAC
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1";
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
Gas Fireplace PermIt Fee
TOTAL DUE
I ~~~'7~/: I~ t.
. ()-o
Receipt No. SZ-'/W
~,
This Application Becomes Your Building Permit When Approved
I~~
I lluildlllg Unieial
/dlt.ft; "
, Date'
#
#
#
#
By
Io-I/,- 2~~
Date
$
$
$
$
$
$
$
$
$
ThIS IS to certlty that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. TillS document
when signed by the City Planner constltlltcs a temporary Certificate of ZOl1lng compliance and allows construction to commence Before occupancy, it Certificate of Occupancy must be
issued
Special Conditions. if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372