HomeMy WebLinkAboutBuilding 08-0143
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I 4-0 ~ 5"
eonr1b~
Date Rec' d
4-.7.ob
I White
Pink
Yellow
I PERMIT NO. 08.0/4-31
File
City
Applicant
/tVt -
C::-.
ZONING (office use)
Nt;.,.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
;, /,) /'<./ LV'1 /-+CI/l1 ((.. ::t J1.1 f
Dtt1'l Et1~'~'I-"i? fJ//#'1
,
'1-.. <: FrIeL/) C1-
(Phone)
(Phone)
?12 -J/6
eif ,11
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Conn
CODE: DI.R.C. DI.B.C.
Type of Constmction: I
Occupancy Group: A B E
Division:
II III IV V A
F HIM R
I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
~~
~" &-~
$ 000u
o Misc.
B
S
U
PROJECT COST IV ALUE
(excluding land)
l hereby certify that I have hlrmshcd mformatIon no this applicatlOll which is to the hest of my knowledge true and correct. I also certify that I am the owner or authof!zed agent for the
J~()v.e-mentlOn('d prop,:!,,,, that all constructio will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildlllg
i ltfiClal can revoke thl~fptTmlt or Just c, . c Fl lcrmorc, I hereby agree that the CIty official or a de~ilgnee may enter upon the prope11y to perf(Jrm needed mspectHHls/
/ "'.~/ - /
X tC./ i 0
~,
Permit Valuation flZ5"""o 0 , 0 a
-
Permit Fee $ 7~1 7~
Plan Check Fee $ ::=---
=: .._~
State Surcharge $ /.~~
-
I Penalty $
I Plumbing Permit Fee $
~echanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
I This Application Becomes Your Building Permit When Approved
I ~~ '1/7er-
Contractor's License No
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 0
ThiS IS to ceftlfy that the requl'st 1I1 the above applicatIOn and accompanYll1g documents IS 111 accordance with the City Zoning Ordinance and may proceed as fequested ThiS dllcument
when signed by the City Planner constltutes a temporary Certrtlcate of Zonmg compliance and allows cunstructlon to Cllmmence Bcfme occupancy, a Certlfieate of Occupancy must be
issllcd
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) ~~7-91l50. fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372