HomeMy WebLinkAboutBuilding 06-0821
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. Et ~~:I;a.. I PERMIT NO. U0- >?+-/I
I ZONING (office use) I
.ltcl~ OJ- .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm,;:?!5 / f11(-U 3Lrc':~
OWNER
(Name)
(Address)
(Phone)
'('lOr L-a.Jee
q6) -((f{7~~5$
(Phone) 3::fo -)-UJ -b ~ 5 ~
(Phone) ~,.. ~S9 ~On
03
TYPE OF WORK 0 New Construction o Deck OPorch 'b\Re-Roofing ORe-Siding OLower Level Fimsh
OAddition OAlteration OUtility Conne&~ 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
n mrvvAB
F HI MRSU
1 2 3 4 5
o Fireplace
PROJECT COST IV ALUE S
(excluding land)
!rGq~r~
I
I hl'feby cenit}o that I have furnished mformation on this application which is to the best of my knowledge true and eorrcct. I also ccnit}o thar J am the owner ur authorIzed agent for the
above-mentl propctty and t aU construction will conform to aU existing stare and Jocallaws and wiU proceed in accordancc wirh submirred plans. I am aware rhat the building
:cial r oke this mit just c se. ~ rtIIcrmore, I hereby agree that the CIty 0~~<il5i{q the property to perform ni ~lJ~'
Signature Contractor's License No, Date
Permit Valuation :;;JL3Lv--
Permit Fee $ jtl 70
Plan Check Fee $ /'~5
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
Building Ollicinl
Date
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 $ 'i& --/
I Paid I (~/
Date LA- 7~ r"
I ~;pt~/Y/Li
ThIS IS to ccniry that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This ducument
when signl>d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commencc. Before occupancy, a Cl-rtiflCate of Oceupancy must be
issued
Planning Director
Date Special Conditiona. if any
24 hour notice for all Inspections (~2) 447-98~. fax (~2) 447-424~
16200 Eagle Creek Avenue Prior Lake. MN 55372