HomeMy WebLinkAboutBuilding 06-0731
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
571.(
.-
\..::;>('
I White
Pink
Yellow
I PERMIT NO. (}/P'" 13/ I
File
City
Applicant
ZONING (office use)
\-5
-11' ,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER..,...
(Name) ~~
f?--
~qiV:)L9c......
G~
~e.'
(Address) .....
PlOdS -903- ()05-J
(Phone) COld- ~ q4-0 -1105 I
\r<
BUILDER
(Company Name)
(Contact Name)
(Address)
~c'~^S+-
~~V~
~c,
0; d. - Q4o--,I0<8
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch~Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OLR.C. OLB.C. o Misc. ca.Q..
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ /CTn
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 furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
dbove-mentloned property and that all construction will conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the building
otfloal can revoke t1us 'rmlt tin st cause Furthermore. I hereby agree that the CIty official or a deSignee may entet upon the property to perform needed inspections
<-feeS' ( 6 -I('-<x:'
x
Permit Valuation
Permit Fee $
~mChcrkFff $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Date
BlIildll1~ Uftlcial
Contractor's License No.
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 $ '1&.-"
~--
-) 7- 10
i Rece;ptNo. ,~nq5 I
By g,
Paid
Date
ThiS IS to certify 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 constitutes a temporary Certificate of Zoning compltance 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