HomeMy WebLinkAboutBuilding 06-0339
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
COACHMAN ~ANE NS
Date Rec' d
S. 3. 00'
I White
Pink
Yellow
I PERMIT NO. tJ V . 0337 I
I
File
City
Applicant
QA.\V1t l~"E. 11"'} ~(~l.l
ZONING (office use)
{OJ
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
~
S"~,JS~oE.~
(Address)
PID 25. Z 64- ()~ 0 0
(Phone)
L..\4l- ~ol-I
BUILDER
(Company Name)
(Contact Name)
(Address)
~o\.ttJ
k tJ I.L .,. 'S () tJ
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III
H
2
IV V
I M
3 4
A
R
5
I
E
II
F
1
o Mise.
B
S
$
PROJECT COST IV ALUE
(excluding land)
u
I hereby eertify that I have furnIshed Inftlrmation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
above-mentIOned properry and that all cnnstructlon will conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the building
official can revoke this per r Just cause Furthermore, I hereby agree that the Clry official or a designee may enter upon the property to perform needed Inspecl1ons.
x
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
BuilJl11g OlTicial
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 $ .00
ThiS IS to certIfy that the request in the above applical10n and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. TillS document
when signed by the City Planner cnnstltutes a temporary Certificate of ZOnIng 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