HomeMy WebLinkAboutBUILDING 08-0303
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Applicant
I PERMIT NO. () 9_ 03 73 I
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
ZONING (office use)
PID
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(Phone) (.1) 6P(} - 6YY2
MN 554
(Name)
Nt#lf\1OJ)
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(Address)
i BUILDER
I (Company Name)
I
I (Contact Name)
I (Address)
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(Phone)
(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch ie-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Conne tlOn
CODE~.C. OLB.C. o Misc.
Type 0 onstruction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hCITby certify that I have hlfOlshed Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or iluthof!zed agent for the
Jbnve-men property an I all constructIOn wlll contllfm to all eXistIng state and local laws and Will proceed in accordance with submttted plans I amlware at the bulldIng
nffici an revoke tlus permIt - Just cause Furthermore, I hereby agree that the CIty official or a de - 'nee may enter upon the property to pert(1rm needed Inspec ons
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$
$
$
$
$
$
$
$
$'1
I ~~ceiPt N/it; ~O~b
Permit Valuation 'ZS<Q? 0 '
Permit Fee $ 0"1ee;
Plan Check Fee $
State Surcharge $ . '2-""
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
#
SAC
#
Water Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
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Paid
Date
,.
ThiS IS to certify that the request in the above applicatlOll and accompanY1l1g documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes J. temporary Certificate of Zomng complIance and ilUOWS construction to commence Before occupancy, a Ccrtlfi.cltc of Occupancy mllst be
Issued
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