HomeMy WebLinkAboutBuilding 06-0399
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
J Yellow
File
City
Applicant
I PERMIT NO. 0(,- :]C)1
(Please
ADDRESS
\44}2 '~~\rc\ "
ZONING (office use)
E
t>f'~Clf Lo.. v...
M0
5
,2...
LEGAL DESCRIPTION (office use only)
LOT ~LOCK f ADDITION
OWNER
(Name) l.Yf- fL.<j ~d ~ 0..
(Address) ILl'l12 .~\~ Ii -Tr-<A\ \
M~c.."-
(Phone) u\ 2-- .3D~ - 2. 00,
0~
\Dot" ~~
W\!\(\
55 "TL
BUILDER
(Company Name) SM l!. ~Y'S\..c~L\-;cf'
(Contact Name) S\~vQ.. V(}....'fo.....'o
I'S 411' flUE E .:St\-o...:~..O~E€"
(Phone) 9'::>2- 2 IL-oqcy
(Phone) 9"57- 2-'2.-- 0'1 DY
5:>3/
Y"\.\('\
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
o New Const~.on ODeck o Porch ORe-Roofing
OAdditIon ~lteration DUtility ConnectIOn
o Misc
ORe-Siding OLower Level Finish 0 Ftreplace
At::> 1> f,.J e;, <;;;: 6<" \J l c6 DooR-
TYPE OF WORK
A
B
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnished mformation on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that 1 am the owner Dr authoflzcd agent for the
above-mentIOned 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
official can revoke t 'rmll for Just cause F e ore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectlOns.
Permit Valuation
~2.a.)\3S0S
Contractor's License No.
5-/'1-0<.0
Date
x
Sewer & Water Permit Fee
$
$
$
$
$
$
I $
$
- '1")
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 $ 1b- -
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Paid
Date
~--
,. ..
- /q - b
, l'
I ~~ceiPt NO~~ 6Z/
ThIS IS to certify that the request in the above appllcallon and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIon to commence. Before occupancy, a CertIticate of Occupancy must be
lSSlICd
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