HomeMy WebLinkAboutBuilding 06-0460
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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I PERMITNO.tJ~___ ~
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone) C75z) 250 -57Zt
OWNER
(Name) ER It( ..::r _ ::::r c N5EN
(Address)
PID (;l-7"-
11/ - ont-b
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Conn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
(Phone)
(Phone)
Re-Roofing
tI 1
ORe-Siding
o Fireplace
OLower Level FinIsh
o Mise.
A
R
5
$ ;? 6 ~.-----
B
S
U
PROJECT COST IV ALUE
(excluding land)
x
I hereby certify that I have furnished mformation on thIS application which IS to the best of my knowledge true and correct. I also certily that I am the owner or authOrized agent for the
above-mcnl1oned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can rev hI' permit for use Furthermore, I hereby agree that the City official or a deSignee may enter upon the propelty to perform needed mspectlons
5/ n;b(?
, Date
Permit Valuation
Permit Fee $
Plan Check Fee $
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
8uildl11!! Of1icial
Date
Contractor's License No,
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 $ 70.--
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ThiS IS to certIf'y that the request in the above applicatIon and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the CIty Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certtfieate 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