HomeMy WebLinkAboutBuilding 06-0835
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. I J. ()"
I. Whil. FiI. I PERMIT NO I
~. :e1~OW ~~:'ico.. . ~ (p . 0 e35
rlor I ct/Le- I ZONJNGc__, I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER.
(Name)
(Address)
~
TYPE OF WORK 0 New Construction DDeck OPorch
DAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Di"ision:
A
I
B E
IT
F
1
mlVVAB
HIM R S U
2 3 4 5
(phone)
G f) ~,OI5 7
(phone) ~;;.o-)LIO-b5JS
e-Roofing ORe-Siding
o Misc.
OLower Level Finish
o Fireplace
s cg 95L/,5/
PROJECT COST IV ALUE
(excluding land)
mformatiOl1 on this application which is to the best of my Icnow~ true and COI'I'eCl. ) also certifY that I am the owner tlr authonzed acent for the
t aU cons will conform to aU existing stare and Jocallaws and will prot:eed in accordance with submitted plans. ) am aware that the building
. s . i/crrnore, ) hereby agree that the CIty official ~ ~ g~t/1l1e properly to perform nced~;:. 0 tl
Signal\lre Contractor's License No. Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
lbis Application Becomes Your Building Permit When Approved
Buildin2 Official
Date
Park Support Fee # $
SAC # S
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other S
TOTAL DUE $
~.yo 1--
ThIS IS to ccttify that the request in the above application and acc:ompanying doc:umenls 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 eompliancc and allows construction to commencc. BcfOtt occupancy, a Cl'l1ificatc of Occupancy must be
issued.
Planning Director
Date Special ConditioJu. if any
24 hour nolitt for all insptctions (~2) 447-98!iO. fiX (9!li2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372