HomeMy WebLinkAboutBuilding (Void) 06-0837
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. {)~/
q311
ZONING (office use)
P (AD
LEGAL DESCRIPTION (office use only)
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OWNER(' U
(Name) .~ ~~
(Phone)C~ 22.~ - 2.~ IDk
(Address)
(Phone) (4)n) 73 , - 3<J~o
~honel~77'\--: ~o,<J.O
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connecl1on
ORe-Siding
OLower Level Finish
o Fireplace
CODE~' .R.C. DI.B.c.
Type of on truction:
Occup cy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S
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U
PROJECT COST IV ALUE
(excluding land)
$ ~ Cf'p) <i\Q-
x
Irnished Information on this applicatIOn which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authorIzed agent for the
nd 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
11 for Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed inspectIons
~ /7:!3/0 to
Contractor's License No.
Date
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
r Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
,00.
Park Support Fee
SAC
Permit Valuation
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(, Z. z..s
Permit Fee
$
$
$
$
$
$
$
$
Water
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Other
TOTAL DUE
$ :;Ao 1 J..
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I ~;cei t No.6 /
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Buildllw Official
~ II '!Ok
Date
I Pa,ct 8-1) '; 7~
Date Zf - t... ~
This Application Becomes Your Building Permit When Approved
Thls.1s to certIfy that the request In the above applicatIOn and accompanYing documents is In accordance with the City Zoning Ordinance and may proceed as requcsted. TIllS documcnt
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows constrUCl1on to commence. Before occupancy, a Certlticate of Occupancy must be
1~~
Planning Director
9ft I ;l;(,
, Date
Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372