HomeMy WebLinkAboutBuilding 06-0650
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec l d
File
City
Applicanl
I PERMIT NO. O~-0s~ol
White
Pink
Yellow
P R I u f~
\f\J OJD D L/lcK lie A I L
L. I\.l(~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Ar- f')old ~ I e $ ~k
\ 5 \ '61 VVwd DLA<:-Je
I (~II. Vrl'ur Lc'\~
(Phone) q 5;) - i-'Lj-l- Salle
ktJ 5S 3'7Y
(Address)
ZONING (office use)
"31~{)
""b~'{'ld Stimp<x-c. l
1fIII"'t,~~1U
(Phone) CJ 5.) -- Lf-<6+-(oS<c I
(Phone) qS,;} -4-40 - 199 7
BUILDER
(Company Name)
(Co*act Name)
(Address)
TYPE OF WORK. 0 New Construction DDeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection 0 Mise,
Re-Siding OLower Level Fimsh
3 4-id1J<J
PROJECT COST IV ALUE $
(excluding land)
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
m IV V A
HIM R
2 3 4 S
B
S U
x
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid ,.~/
Date (- dO--
~
/'i 11
1~~.'5
This Application Becomes Your Building Pennit When Approved
Buildin\! Ollicinl
Dnte
o Fireplace
$
$
$
$
$
$
$
$
$
--
ThIS IS to cenify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372