HomeMy WebLinkAboutBuilding 06-0244
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 j It). {)h
File
City
Applicant
I PERMIT NO. Oft?, 6244-1
I White
Pink
Yellow
(Please at bottom)
ADDRESS
/5'9 7S /7C;b17 (ijt/-;- /lrC,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID Z5. 24L;, D 17. 0
,
BLOCK
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
-Z-~j- &(e/,~s
~~ .~w~
(
~
~
(PhOne)~~/e) ''-I'?''OC~ ~
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Con
ORe-Siding
OLower Level Finish
e-Roofing
chon
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise
V
M
A
R
B
S
I
E
U
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
on to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
canto 0 all eXlstmg state and local laws and will procecd in accordance with submItted plans I am aware that the bUIldIng
reby agree that the CIty official or a deSignee may entetupon the propeny to perform needed Inspe HJn5
C-l:J.f'r; 7 ~ J~ (
x
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
Buildlll(! OnlcIal
Date
$
$
$
$
$
$
$
$
$
ThiS lS to certify that the request in the above applicatlOll and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of ZonIng compliance and allows constructHJn to commence. Before occupancy, a CertIficate of Occupancy must be
isslled
Planning Director
Date
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any