HomeMy WebLinkAboutBuilding 06-0817
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
I 'I11~
S Ylote. lat~
9. 6. ~ b
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 6".097
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PIDZS". oz..,.,S". o G.+-. 0
(Phone)
(Address)
P\oof\~
(Phone)
(Phone)
'{ Cf,. - 3ltl.f;A
TYPE OF WORK 0 New Construction DDeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Con nee ion
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
IV
I
3
V
M
4
A
R
5
II
F
1
III
H
2
I
E
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrmshed mformation on this applicatIon which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authOrIzed agcnt for the
above-mentIOned propelTy and that all construction will conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
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Signature Contractor's License No. 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
Buildll1l! UIlicial
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 $ 7'.00
sz,z.,$
. oft?
ThIS IS to certify that the request m the above applical10n and accompanYll1g documents IS in accordance with the City loning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows constructIon 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