HomeMy WebLinkAboutBuilding 06-0128
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
J.2.00
1. Whit. Fil. I PERMIT NO I
~~el~ f~~ic.o.. .OW.U/Z0
I ZONING '--l I
();4 iL ,...;,C) 0 b C f2 c: L~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2~ zeo. Oil. ()
OWNER
(Name)
B~ A--J
/Hv 40
f-{'ELlLt
(JA-tLi/I": ('r-{:0
(Address)
(Phone)
{Z.j2c: I. F
BunDER D 7? .
(Company Name) t"--D AiEL. 1-:) i.< i LD ~~~S
(Contact Name) l A-1J(:",PC)~ L.eH-<.;\A. Bi4:~
(Address) 28 c ~.;- eLl r F= ~-C A:-:o E ..
(phone) r~Z
(Phone) t~ /2-
t3j..q2_~V j L L C .
~?s- 19 cD
3gS; 7771
{\.., ~I
TYPE OF WORK 0 New Construction
OAddition OAlteration
o Fireplace
CODE: oI.R.C. oLB.C.
Type of Construction: I
Occupancy Group: A B E
Division:
n mIVVAB
F HI MRSU
1 2 3 4 5
OLower Level Finish
PROJECT COST IV ALUE S
(excluding land)
/IJ loc'
,
I hereby ceniIY that I have furnished Information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzcd agent for the
above-mentIoned property and that all ction w. to all existing Slate and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r . it for jus ause. urth ore, I h eby agree that the city official or a designee may enter upon the property to perform~ecd. I . ns.
L' S- 8' "'3 2_ 0 "
Contractor's License No. re
Pennit 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 Buildlnll Permit When Approved
Buildin\! Otlicial
Dale
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 $ ~//?
, ~
~NO' :>://3_
I Paid
Date
7tP~
J..,), ~ ,"
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requl'Stcd. This documl'llt
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance and aUows construction to commence. Before occupancy, a Cl'l1iflCatc of Occupancy must be
issued
PIatming Director
Dale Special Conditions, if any
24 hour notice for all inspections (~2) 447-98~, fax (~2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372