HomeMy WebLinkAboutBuilding 06-0502
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO.
O(g. t60Z+
6R. e AU); ~ -.f
ZONING (office use)
FI'11
LJ7J<e
ff) /1)
fi:./
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 2- ADDITION PJ'C-tJt'lC..d//(A.:<.::: II~lt./J' 4"!lJ
PIDZ5:" OZ.I. (}oB. ()
OWNER
(Name)
PI
oIl-fQ-.
J<///J q,fj-efS?
I
(Phone) 9(,2 . V'f.l~ :; ~7 f? I
(Phone) 9t;!f-. '--I 'I; ~ 30 7 9
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck
DAddition DAlteration D
CODE: ~.R.C. DI.B.C.
Type of6;'~stmction: I
Occupancy Group: A B E
Division:
II III IV
F H I
I 2 3
Porch ORe-Roofing ~e-Siding OLower Level Finish 0 Fireplace
tihty Connection _ d / ./_
D Mise. &ree~ /6,td.. C)~er' ~:s~::?
PROJECT COST IV ALUE $
-jexduding land)
rtrL
V
M
4
A
R
5
B
S
U
I hereby certify that I have hlrmshed InfmmatlOn on this application which is to the best of my knowledge true and cOlTect. I also certify that I am the owner or authonzed agent for the
above- . l10ned property and that all nstruction ill conform to all eXisting state and local laws and will proceed in accordance with submItted plans I am aware that the building
:rlci can. evoke this permi}or Jl 't IS\. Furth ore, I hereby agree that the City official or a deSignee may enter upon the propelty to perform neede InSp tJ()ns 0 b
Signature Contractor's License No.
This Application Becomes Your Building Permit When Approved
$~
uildlllg Otflclal
~~.Jh6
, Daft'
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
$
$
$
$
$
$
I $
$
Water Meter Size 5/8"; 1",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
This IS to certify that the request In the above applicatIOn and accompanymg documents IS In accordance With the City Zoning Ordinance and may proceed as requested. This document
when signed by the CJty Planner ClJnstltutes a temporary Certificate of Zoning ClJmpliance and allows construction to commence. Before occupancy, a Ccrl1ticate 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
~
PRIOR LAKE
INSPECTION
EC RD
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
PHONE #!/!I,. ~
I FINAL
FOR ALL INSPECTIONS (952) 447-9850