HomeMy WebLinkAboutBuilding 06-0196
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. .J. 7J) 10
(Please
ADDRESS
1 White
Pink
Yellow
File
CIty
Applicant
[ PERMIT NO. 06.0 Ie; (p
ZONING (office use)
5'70 2.- {,,{).!"T /ibA:...l'ZaM ~.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z~ /6S.ot'Z.lJ
OWNER
(Name)
(Phone)
(Address)
BUILDER k' -")-
(Company Name) - I/c Sf {;.-N E/<...S
(Contact Name) Ete 1tC>
(Address) 10 W. ,3
(Phone)
(Phone)
'1S2 t57'V 5600
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
e-Siding OLower Level Finish 0 Fireplace
S'/ofA./Ci O(/@e- G"{;,fllrJ!j
CODE: DI.R.C. DI.B.C. o Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have furmshed Inf(Jrmatl(m on this application which IS to the best of my knowledge true and COlTect. I also certIfY that I am the owner or authOrIzed agent for the
abnve-mentlOned propelty and that all construction will conform to all eXIStIng state and local laws and will proceed in accordance with submItted plans I am aware that the buildIng
offiCial can revo e thIS permIt f(Jr Just cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propelty to perform needed InspectIons
x
Permit 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 Building Permit When Approved
Buildlll!! Onlcial
Date
5-2--7-tJ~
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 76,00
Paid
Date
'l~, 9i
.3.;>- .{)6
iftNO ~1177
ThIS 1S to certlfy that the request in the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested Thls document
when signed by the CIty Planner constItutes a temporary Certificate of ZonIng comphance and allows constructIOn to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372