HomeMy WebLinkAboutBuilding 06-0785
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE..
AND UTILITY CONNECTION PERMIT
I ~4~;~;"rh ;36 t )
Date Rec'd
I. White FiI.
2. Pink City
] ytlluw Appli(o",
~.Roollng DRe-Siding DLower Level Finish 0 Fireplace
~ Ow~ 6
PROJECT COST IV ALUE ~ 1 /! . . G
(excluding land)
LEGAL DESCRIPTION (office use only)
LOT(bBLOCK
OWNER.
(Name)
(Address)
(Address)
TYPE OF ",.)RK. 0 New Construction ODeck OPorch
DAddinon OAlteration OUtiliry Con
CODE: OLLC. OJ.B.C.
Type of Co"o~. uction:
Occupancy G lUUp:
DiTision:
I
E
n
F
1
IDlY
H I
Z 3
V A B J.
M R S u
4 5
A
B
I PERMIT NO. {5b ~7g-~sr
I
AN~
Nt
.:? t' (
I ZONlNG1_ ""I
(phone) &
(Phone) ,C::;O rYl Q
1 bo-dly emu) ,.._, i nave furnished infonnation OIIlhis appUalion "'bleb is 10 !be best of my Icnowledle true and com!Ct. 1 also certifY that 1 am the OWIlcr or authori%c<1 aeem ror!be
above-mmuoneJ ;' ,1jX'Jt)' and that ill COl1StrIICtion wiD conform 10 aU cxislilll state and local laws and wiD proc:ttd in accordlu1<< with submitted plans, 1 am aware that the buildint
official C4ll r<voh ,..15 pmnll for just awe. FUlthcrmore. 1 hereby aarec dw the city oft1cial or a dcsi&oee may enter upon the property to pcrfurm needed uupcc;tions.
x
Signature
Date
Permit Vall:.
-
Permit Fee
Plan Chec~ .
State Surch,.
Penalty
Plumbin,; 1.
Mechanic"
Sewer & \,_.
Gas FirepL_
Fee
. :1it Fee
.. ,'ennit Fee
. .rmit Fee
S
$:
S
S
S
S
S
S
b
U<<OIDeS Your Buildin& Pennit When Approyell
. Ufficial
Date
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
~wa/W~CoM<<tionFee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
$
S
S
S
S
S
S
S
$
Iication and accompanyilll documents is in accOillan~ with the City Zonin& Ordinanct and may proceed as r~qucstcd. This d<lCUment
ary Certilkate of Zooina rompUa"" llIld allows constrUCtion to commen<<. Befoce occupancy, a Ccrtificate 01 Occupancy must be
S '
24 bour Dotin for.1I iaspedioRl (952) 447-98.~. fax (952) 447-4245
16200 Eq1e Creek Avenue Prior Lake. MN 55372
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