HomeMy WebLinkAboutBLDG 08-0294
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
File
City
Applicant
[ PERMIT NO. ()13 --214-
(Please type or print and sign at bottom)
ADDRESS
63b1 LQVlc1C1
Co 1/ e
T~,
ZONING (office tlse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Phone)
q Sd-~ '(I.{ )-5;;;- ~
OWNER
(Name)
. ,
JDe- UJI>e-
"53b CCr'lol
L-ov.e
TI<
(Address)
LaY1.
65 /- r90Cj-J /;?cJ
bSI -?7S;"L/Nr
BUILDER
(Company Name)
(Contact Name)
(Address) q 70
ve
ORe-Siding
OLower Level Fimsh
TYPE OF WORK 0 New Construction ODeck OPorch
DAdditlOn o Alteration o Utility Conne
e-Roofing
IOn
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
B
S U
A
R
5
V
M
4
IV
I
3
I
E
PROJECT COST IV ALUE
(excluding land)
x
Contractor's License No.
Permit Valuati
?-<;""'Oo<- -
l ~7~
Park Support Fee
SAC
Permit Fee
$
$
$
f. 2-)'
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer/Water Connection Fec
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOT AL DUE
Paid
Date
l~- /
." ~&>/of)
I
Receipt No. 55777
By ;l!../JfJ.
#
#
#
#
o Fireplace
$
L(5tJo
$
$
$
$
$
$
$
$
$
7..(,.-
This IS to certify that the reque, pplicatlOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constltutes a temporary Certificate of Zomng compliance and allows construction to commence. Before llCCUp.lI1CY, a Ccrtlticatl' of Occupancy must he
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any