HomeMy WebLinkAboutBuilding 06-0246
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
at bottom)
/ ~/4~1
C4'~
/1 J/f
Date Rec' d
4-- 10. ()~;J
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. oh I 0 z44
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID 2.5 () 74- i)(l z.. U
(Phone)
(Address)
I BUILDER K. .~ (l .
! (Company Name)~_ C . <,,, uS 1" f'Y1
(Contact Name) Zo...c:.. lj:ck.~/a.5 /
(Address) I 'J J:J I~ c. ' (l ti H
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Conn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
(Phone) 76:, ~~-l(:~q /~ n
(Phone)
41r1
fk! ;11 ~S
OLower Level FinIsh 0 Fireplace
Park Support Fee
SAC
#
#
o Misc.
B
S U
PROJECT COST IV ALUE
(exduding land)
$
I hereby certify that IJliu't'.fl r formatIon 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 tlJr the
Jbove-mentl~ru;G-p1'Opcr < n . tl.'at all nst.l...I.lctl~ill conform to all eXISting stJte and local law. s.and will proceed in accordance with submitted plans I am aware that the bUIlding
(~revOke p It 0 callS Furth more, I hereby agree that the CIty official or a deSIgnee may enter upon the propel1y to perform needed In' ectHIn.
X b- ----, .... _i dv543id5 q It' 06
. Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Oniclal
Date
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
$
$
$
$
$
$
$
$
$
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
~~ --;,1&
11
)1';P( No.
./
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ThIS IS to certify that the request 10 the above application and accompanying documents is in accordance WIth the City Zoning Ordinance and may proceed as requested. This document
whcn signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows constructIon to commence. Before occupancy, a Certificate of Occupancy must be
isslled
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any