HomeMy WebLinkAboutZoning Permit 06-0005
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ()G- [}'-~
(Please type or print and si!l:n at bottom)
ADDRESS
5171
Hop~ ST.
St....
ZONING (office use)
,( I SD
LEGAL DESCRIPTION (office use only)
LOT-).( BLOCK j,. ADDITION
n'J, fchell
A1d
PID~er-155 - oJ-3-{)
OWNER--:J
(Name) l\.D....U~~LP
(Address) 5\7 \
't::>. 6u s."
\-tOPc.c. .5> T;
-.S ~.
(Phone)
;J /UDIL /...4/t:. L
qS;;J- ~q6-lo~q 7
S-.s-3 7..2 .
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection
ORe-Siding OLower Level Finish 0 Fircplacc
CODE: ~I.R.C. DI.B.C. o Mise.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
. t.!/.' J (
U (.1 ~ ..L/YI.I~
I -
PROJECT COST IV ALUE $
(excluding land)
I hereby certify lhat I have hlfnlshed mformation 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 t(lr lhe
abllve-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed m accordance with submitted plans I am aware that the bUlldmg
~'f1Cla] c"J'.Rc1Jrmsu:S Furt ImOle, I heleby agree that the City offICIal or a deSignee may enter upon the plOpeny to pel form n~l~/o (p
Signature Contractor's License No . ~ Date
This Application Becomes Your Building Permit When Approved
Paid
Date
$
$
$
$
$
$
$;) I ,/
Vrruup
$ I
-----
1, ReC~l]J_~
. ...9)1'-
#
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
Permit Valuation
Permit Fee
#
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
#
Builder's Deposit
Other
r / :)
, .",.
Gas Fireplace Permit Fee
TOTAL DUE
~ ~-#~&~
BlIildlI1~ Oftlcial Daie
ThiS IS to certify that the request m the above applical10n and accompanYIng documents is m accordance WIth the City Zonmg Ordinance and may proceed as requested. ThIS 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 musl be
issued
Planning Director
Date
24 hour noticc for all inspcclions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
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lONE 447 -,,~ 70
Prior Lake, Minnesota 55372
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