HomeMy WebLinkAboutBuilding 06-0845
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
~/" S
Date Rec' d
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I White
Pink
Yellow
I PERMIT NO. 0(,. () 8451
File
City
Applicant
ZONING (office use)
~/'1't!#-r1AN L"J.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) -n r I' '7'
,
A /'
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l30r 'lit?
(Address)
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(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch -Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conne 0
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
o Mise.
A
R
5
6#CJtJ, -
B
S U
PROJECT COST /V ALUE
(excluding land)
$
x
ed Information on this application which is to the best of my knowledge true and correct I also certIfy that I am the owner or authorIzed agent for the
t t all constructlOn WIll conform to all eXlstmg state and local laws and will proceed in accordance with submitted plansc I am aware that the buildIng
5t hermore, I hereby agree that the Clry official or a deSignee may enter upon the propeny to perform needed mspectHlIls
9~/f:; ~<.J 6
I hereby certify that I have fllr
above-mentIOned proper a
otlicial can rcvo this p
Signature
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
BuildllH! Ufticial
Date
Contractor's License Noc
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 'i& -
ThIS IS to certify that the request in the above applIcatIon and accompanYll1g documents is In accordance with the City Zoning Ordinance and may proceed as requestedc ThIS document
when signed by the CIty Planner constItutes a rcmporary Certificate of Zonll1g compliance and allows constructlOn to commence Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372