HomeMy WebLinkAboutBuilding 06-0247
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f-./().00
(Please
ADDRESS
White
Pink
Yellow
I PERMIT NO. Ofti. tJ24-7 I
File
City
Applicant
ZONING (office use)
3/9/
LH K-~.
6'cUrjC U/U~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
PID 25. 31/. oZ c.
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
bSl-~Ci Cf,"'" a
(Phone) ..:U:::;;.- C,../ CJ 3
(Phone)
oLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction oDeck oPorch ORe-Roofing
oAddition oAlteration oUtility ConnectIon
CODE: DLR.C. DLB.C. o Mise
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrmshed Inf(Jrmation on this application which IS to the best of my knowledge true and correct. I also certlty that I am the owner or authoIlzed agent for the
above-mentIOned property and that all CDnstruclion will conform to all existing state and local laws and will proceed in accordance with submllted plans I am aware that the building
offiCial can ~t for J~ust cause F~~~~.hat the Cltv offiCial or a deSIgnee may enter upon the plOpcrty to pet form necd;;spcctHlns
X ~_ c _ ~_ --- 7-/? -06
Z~ ~ Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildln~ Ortlclal
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$
ThiS IS to certify that the request in the above applicatIon and accompanying documents is 1I1 accordance WIth the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the Clly Planner CllnStIllltes a temporary Certificate of Zonrng complrance and allows construction to commence Bcfme occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372