HomeMy WebLinkAboutBuilding 06-0442
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
o.30.0{:,
(Please type or print and sign at bottom)
ADDRESS
/ .s {..,,I'J AI .0
/5828
] White
Pink
Yellow
[ PERMIT NO. ~(,. b4+*-
File
City
Applicant
vie W ,en. NN
ZONING (office use)
KISD
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
IZ.J .
1< I.' I( L
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID 25..
Z2.8. oof.b
(Phone) qrl. - i.f l..{'7 - 11('10
/YIAJ
~-s
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
OAddition OAIteration OUtility Connec on
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
IV V
I M
3 4
A
R
5
II
F
I
III
H
2
I
E
o Misc.
B
S
U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnlshed mformatlon 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
abOV(>fficnttoncd property and that all construction will conform to all eXIstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
Ilt1lcial can revoke thIs permit fl . J st cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propelty to perform needed inspectIons.
, , ~/JOIO~
x
Permit Valuation ZI5()O..OO
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
Buildlllg Ofticial
Date
Contractor's License No. 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 certity that the request in the above applicatIon and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner Cllnstll1Itcs a temporary Certificate of Zonmg compliance 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