HomeMy WebLinkAboutBuilding 06-0482, 0483 (four-plex)
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1659/ - 7
F {IIi- ft,(U/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
White
Pink
Yellow
I PERMIT NO. ()(o-- II gJ-t
File
City
Applicant
ZONING (office use)
(/~" .
OWNER
(Name) 15SOCf,4rm.AJ
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address) lf
(Phone) 9s ~ -;:; 9-~ .- S-R8<
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
U
o Mise.
B
S
7s-"OO ~
$
PROJECT COST IV ALUE
(excluding land)
I hereby certity that t have nlrnlshed mformation on this applicatIOn which 1S to tht' best of my knowledge true and correct I also certify that t am the owner or authorized agent for the
above-menl1oned property and that all Cllnstruction will conform to all eXlstmg statc and tocallaws and will proceed m accordance with submitted plans I am aware that the buildmg
"fllClal can rev 1 ust cause Furthermore. I hereby agree that the City off1cial LlT a deSIgnee may enter upon the propeny to perform needed mspectl()n5
~ ~o099973 6/7/D~
Contractor's License No. ( mate
Permit Valuation asDv-
Permit Fee $ 7L/. -"1')
Plan Check Fee $ ;-[)')
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildln~ Oftieial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ --
This IS to certify that the request in the above applical10n and accompanymg documents 1S m accordance with the City Zoning Ordinance and may proceed as requested. ThIs documenl
when signed by the City Planner Cllnstltutes a temporaty Certificate of Zonmg compliance and allows conStructlOn to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
File
City
Applicant
If<6'~
I PERMIT NO.Ol'o---
1 White
Pink
Yellow
(PI,~ "", "' prim Md ri~ " bo.~)
ADDRESS
/~5" 1- q1
c'
r~
~k<)-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
'C3'6oc,;'a- +J O~
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) 02 q d-- - 5 ? &- '=-
1-' b535~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
$
? S'--!Jl) -:--
III
H
2
IV V
I M
3 4
A
R
5
B
S
I
E
II
F
I
U
PROJECT COST IV ALUE
(excluding land)
I hereby certity that I have hlrnIshed rnt(lrmatlOn on this application which IS to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authOrized agent telr the
above-mentIOned property and that all constrllction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildrng
official can revoke th . r JUS Furthermore, I hereby agree that the city official or a deSIgnee may enter upon the propeny to perform needed rnspecl10ns
;;uJe;9 qq r; '3 f.c,j ~ / {/ 6
Contractor's License No. ' Date
Permit Valuation
c;)5cv~
$ 7L? 1 S
$ }.
$
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
I ~~~ 7~.Z~'1
$
$
$
$
$
$
$
$
$
---
I~;'~ (,-7-(,
Building 01flclal
Date
ThIS IS to certify that the request 10 the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner const1tutes a temporalY Certificate of Zonmg compliance and allows ClJnstructlon to commence. Before occupancy, a Certlticate of Occupancy must be
Issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372