HomeMy WebLinkAboutBuilding 08-0134
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
12~()(
(Please
ADDRESS
34-7 I t$/lL-S,qf'vJ
White
Pink
J Yellow
File
City
Applicant
I PERMIT NO. o[). 0/34
ST~ -i4tAl.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
f} /9;JVZ eG--v
to 'f &b
,
(Phone)
1)d - 'fl/O - ';-10 1/
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Conne
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee l $
i
Gas Fireplace PermIt Fee $
This Application Becomes Y OUT Building Permit When Approved
Buildll1g Oftlcial
Date
ORe-Siding OLower Level Fi111Sh 0 Fireplace
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE 0
ThiS IS to certIfy that the requcst m the abuve apphcatll1n and accompanymg documents is m accordance with the City Zoning Ordinance and may plllceed as requested ThIS document
when signed by the City Planner cunstltutes a temporary Certiticate of Zomng cumph,lI1ce and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
isslled
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) .t.t7-91150, fax (952) 4.t7-.t245
4646 Dakota Street Prior Lake, MN 55372