HomeMy WebLinkAboutBuilding 06-0389
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/521
LEGAL DESCRIPTION (office use only)
LOT <( BLOCK ADDITION
I. WlIite File
2. Pint CiIy
] Yellow ApplicoM
I PERMIT NO. 0c:;03991
I ZONING '--I I
J PIDZS-. 057.004--.0
OWNER
(Name)
,om ~)Y1\cK
I \
(Address)
(phone)
Q5J-"Jj/j 7 ~ ;l{) <6"7
(Phone) /; '5 i -[elf Ie -:: =3S33
(Phone) &'5'1- 3:79 - ;Zl;;:;~.--
TYPE OF WORK 0 New Construction ODeck OPorch .Re-Rooftng ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of CODStruction: I
Occupaac:y Group: A B E
Di'rision:
n
F
1
mIVVAB
HI MR.SU
2 3 4 5
s 1.2.5SS..alL
PROJECT COST/VALUE
(excluding land)
I hereby certify lhal I have I\Imished information on this application which is 10 the best of my knowlcd8c trUt and correct. I abo cenify that I am the owner or authorized allCnl for lhe
above.menboned propcny and thaI all construction will confunn to all exislinll slate and Iocaliaws and will proceed in accordance with submitted plans. I am awan: that the buildin&
ofticial ~ this ~il for just cause. FlUthc:rnme. I hereby allJ'CC thaI the citY official or a designee may enter upon the proptIty to perform needed IIUpection..
X ~1~ '7:A6J11LJ.n71) <3"1(03 5-12.-00
SignalUn': Conrnc:aor's Lic:eDte No. Dace
Permit Valuation I
Permit Fee 1$ 7~. Dt>
Plan Checlc Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Thi. Application Become. Your Baildq Permit When AppI'OYed
Buildin2 Official
Date
Park Support Fee # S
SAC # S
Water Meter Size 5/8"; I". $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit S
Other $
TOTAL DUE $
,"0 .
I Paid
Date
~ /~--6
I." Receipt No. ~ { 'f ,'fi;
~y ~~
nus is to ctrtlI't thaI the reqlteSt in the above application aad accompanyinl documents is in acconIanc:e with thco City Zoning Ordinance and may proceed as requcstc:d. This documenl
when sicnc:d by the CitY Planner COl1SIituws a temporary Ctrtiflcale of Zonin& compliance and allows c:onstnIclion 10 conunence. Hem occupancy, a CcrtirlCllle of Occupancy musI be
issutd
PIaDnina ~
Date SPCCW C~. ifliiiY
14 hour notia for an inspection. (951) 447-98!iO, fIX (951) 447-414~
16200 Eagle Creek Avenue Prior Lake, MN 55372