HomeMy WebLinkAboutBuilding 06-0998
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/6'.30 '/
I fdj 5' c <:;. .A V'-<.- 5. L.
LEGAL DESCRIPTION (office use only)
LOT ~OCK Z-- ADDITION ~
OWNER
(Name) :J~h/~ ~vA.~V"-t.
/
(Address)
E..
BUILDER
(Company Name)
(Contact Name)
(Address)
I White
Pink
Yellow
File
City
Applicant
[PERMITNO. ~..~
ZONING (office use)
'/l~ ~ ~
PID 2';- -\al
(Phone) 9.5'.,z-L/~/- 53'1
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ..ilRe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: DI.R.c. DI.B.c. o Mise
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrnlShed mformatlOn on thiS applicatIOn which IS to the best of my knowledge true and correcr. I also certify that I am the owner or authOrized agent fl)r the
clhuvl'-mcntloncd property and that all construction will conform ex ting state and local laws and will proceed in accordance with submltted plans_ I am aware that the buildmg
(lllicial can rev ke thiS permit for Just cause urthcrmore, y agr' t the City official or a deSignee may enter upon the propel1y to perform needed mspectIons
Signature
Permit Valuation "2-:;2]0. -
Permit Fee $ 14-. ,~
Plan Check Fee $
State Surcharge $ l'U;-
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
Approved
COnlractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; )", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ ""t(,.-
Paid 1~... - I
Date 13 I~rp
,
I ~~ceIPt ~~(:P~3
ThiS lS to certify that the requl'st 111 the above applicatlOl1 and accompanYlllg documents is in accordance with the City Zoning Ordinance and may proceed as requested Tlus dncument
when signed hy the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, .1 Certificate of Occupancy must be
issued
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372