HomeMy WebLinkAboutBuilding 06-0636
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I White
Pink
Yellow
I PERMITNO.~ 63cJ
File
City
Applicant
ZONING (office use)
3rljs-J2U~d u~~
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK I ADDITION
IJd
PID flS - /S-9#()6.:j--
OWNER
(N ame)
S-te{/cttl
(Phone)
?5,)-- tt/l-c;?r9d/
,
~ IJ~ rz.e:-fJ
/
(Address)
(Phone)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
Re-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration o Utility ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Constntction:
Occupancy Group: A B
Division:
III
H
2
IV
I
3
V
M
4
A
R
5
I
E
II
F
1
Permit Valuation ;::;) ~O6.--
Permit Fee $ 7t/7'J
Plan Check Fee $ I-d~
Slale Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Buildlllg Unieial
Dale
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
Contractor's License No.
---Z::: J '1- t' {,
Date
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ rz (:, . --
7-~~~
I ~~ceiPtNOJ/=/5
Paid
Date
This IS to certify that the request in the above applicatIOn and accompanymg documents is 10 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 llCcupancy, a Certificate of Occupancy must he
isslled
Planning Direclor
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