HomeMy WebLinkAboutBuilding 06-0993
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
t(. LOe"
......._M_...:.._
ADDRESS
I '/~OCo ... rl2.0h~1
I. Whit. Fil.
2. Pink City
J Y.1ow AlIPli....
I PERMIT NO. O~. () CfQ:3 I
I I ZONn<G (-~) I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
&':.:R 1\~y 0--l\J.- kQrt.S\~.ehctJ\.~
(Address) , ^nZO'1 -t-ru.t/
PID
(Phone) r; / J- ~ crt y ~d30 I
(phone) 31o)!jO'C!535
(Phone)
~~~:Name)~A 13udae(s
(Contact Name) ~t-
(Address) lIJ () "' '1:b CZ ~ AJ g+, C IOu. ct- S '30 .
TYPE OF won 0 New Construction DDeck DPorch 'ls.1Re-Roofing DRe-Siding
OAddition DAlteration DUtility conneCtiOlr 0 Misc,
CODE: OI.R.C. OI.B.C.
Type of Construction:
Ocmpancy Group:
Diyision:
n
F
1
mIVVAB
HIM R S U
2 3 4 5
I
A B E
DLower Level Finish
o Fireplace
s q;J}S, 5Cj
,
PROJECT COST IV ALUE
(excluding land)
I hereby certi~ that I ha~ furnished information on this application which is to the best of rtry knowledge true and COl1'CCt. I also certi~ that I am the owner or authonzed agent for the
above~mentl property and that aU construction will conform to aU existing state and 1oc. aIlaws and will proceed in accordantt with submitled plans, I am aware that the building
official c ~~ ~t ~ j~use. Furthermore, I hereby agree that the CIlY official or a designee ~Y enter upon the property to perform n ed . ns ."
X .~ t/9I'~ XJ1.G8S{j{! ~,
/ Signature Contractor's License No, arc
Permit Valuation
Pennit 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
Buildin2 Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to certify thaI the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporlU)' Certi1icate of Zoning compliantt and aI10ws construction to commence. Before occupancy, a Cl'l'tilicate of Occupancy must be
issued
PIaDnins Jmctor
Date Special ConditioDa. if lIIIY
24 hour notice for all inspections (9!l2) 447-9850. fax (9!ll) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372