HomeMy WebLinkAboutBLDG 08-0193
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
Date Rec' d
f/z 3/08'
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08"- ()/93
ZONING (office use)
3~+
ultc
Il'\ 4,.1 ~,..;
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~
(Name) M.
-t ^^ I4^-C ~ C/1f)L!
--- I
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address) I t/ "2- 8'"" ~
v~ f{IV t..i:!ft/J
'6-'1\/
(Phone)
(Phone)
rt. v.
~ /7' 71'" /r:r,
,J S's,
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddinon OAlteration o Utility ConnectIOn
CODE: ~LR.C. OLB.C. o Misc.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E H I M R S U
Division: 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I havc turnlshed mformatIon on this applicatIOn which IS to the hest of my knowledge true and correct. I also certify that I am the owner or authorIzed agent t(1I the
abovc-mentlllned property and that all constructIon Will conf()rm to all eXlstmg state and local laws and will proceed m accordance with submitted plans. I am aware that the bluldmg
lltficial c revoke lis permit for Just calise Furthermore, I hereby agree that the Clty official or a desIgnee may enter upon the propeIty to perf(Jrm needed lnSpectlOns
1,
Permit Valuation 1125"1)0, ()~
Permit Fee $ '1Lf, 7S"
Plan Check Fee $ -
State Surcharge $ I, z,s-
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
I Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
~~
IluIldlllg Utlicial
1/2-:5/0'
Dale
J".(:) s 15?- Oc.{
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 I $
Other $
TOTAL DUE $ 76, 0 (3
I Poid *t-.oo
Date '3/ i) rr
Receipt No. 5S;'S7'6
By ~.
ThIS IS to certify that the requl'st 1Il the above applicatlon and accompanYll1g documents is m accordance With the City Zoning Ordinance Jnd milY procecd as requcsted ThiS documcnt
when signed by the City Planner e,.lOstltutes a temporary Certificate uf ZOnIng cumphance and allows eunstruetlOn to cummence Before uceupancy, a Certificate "f Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372