HomeMy WebLinkAboutBuilding 06-0276
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f. /8J)(P
ADDRESS
\ 5 48"1
\=, s\-.- \>o~d 'l<J
1. White File
2. Pink City
] Yellow Applic.om
I PERMIT NO. Oc,. 0 z 7C,
.
I ZONlNGCo""'_l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS. /8(). 60+: c)
OWNER-t- .
(Name) ...JO~'{\
~",
(Address)
BUILDER
(Company Name) t..a. K'€.w <",0 bt:;' K~J2.\n~
(Contact Name) S\-uwn
(Address) 906 i E.
TYPE OF WORK 0 New Construction DDeck o Porch
DAddition DAlteration DUtility Connection
CODE: OJ.R.C. OJ.B.C.
Type of Construction:
Occupancy Group: A B
Division:
V
M
4
A
R
5
J
E
II
F
1
WIV
H J
2 3
(Phone) r,;" -:L 736.- JBto :t ,
(Phone) C} 5J...
(Phone) tol;t
J.t 10 SS
/'V
OLower Level Fimsh 0 Fireplace
B
S U
PROJECT COST IV ALUE $
(excluding land)
tf700
e~
--
I ht'feby cenify lhat J have furnished information on this application which is to the best of my knowledge lrue and correct. I also cenify that I am the owner ur authonzed agent for the
above-mentIoned property and that all constnlction 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 permit for Just cause. Furthermore, I hereby agree lhatlhe city official or a designee may enter upon the property to perform needed Inspections.
X ~..-.J<V1 /o/'~ dol/if BOt.~ '1- 'I-Oy
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $ '710 oS:<-
Plan Check Fee $
State Surcharge $
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Buildin\!. Otlicial
Dale
Park Support Fee # S
SAC # $
Water Meter Size 5/S"; I"; $
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # $
Builder's Deposit $
Other S
TOTAL DUE $
ThiS IS to certify that the request in the above application and accomp~nying documents is in ~ccordance with the City Zon:ng Ordinance and may proceed as requl'Sted. This ducument
when signed by the City Planner conslltutcs a temporary Cenilicate of Zoning compliance and allows conslruction to commence. Before occupancy, a CenirlCate ufOccupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (9!i2) 447-98!iO. fax (9!i2) 447-424!i
16200 Eagle Creek Avenue Prior Lake, MN 55372