HomeMy WebLinkAboutBuilding 08-0318
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
,,, lf54
In V6..don~
(3aa-A
Date Rec' d
0" Z,o~
File
City
Applicant
I PERMIT NO.
v
3tY I
1 While
Pink
Yellow
ZONING (office use)
CJv
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Even:; r'ce-'I C4nS/rvc~d J,
v
..:;;, rn 0.1 J::y-c r1'I ~ v
170 IZ /Y1P"c/ I'/vc.- f, p~(.I i
(Phone)
(Phone)
vS-I- 77S- 327 5
tP5/'- 2()" - 31 3'0
TYPE OF WORK 0 New Construction ODeck OPorch 'Gfit,e-Roofing
OAdditlOn OAlteration DUtility Connec~
ORe-Siding
OLower Level finish
o fireplace
CODE: DI.R.C. DI.B.c. o Mise. .-----"-----
Type of Construction: 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 hereby certify that I have turnished mformation on this application which IS tu the best of my knowledge true and (OITect I also (ertlfy that I am the O\VIllT Dr authOrized agent for the
abovc.mentlllned property and that all constructIon wdl cont(lrm to all eXIsting state and local laws and will proceed In accordance with submltted plans I am awale that the budding
oftkial can revoke tlw; permit for Just cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propel1y to perh)rm needed InSpcctHlIlS
~~.~/~ b/Z/t:!L___
Signature Contractor's License No. . Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Iluildlllg Ufflcial
Dale
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fec #
Water Tower Fee #
Builder's Deposit
Other
ThIS IS to certlty that the requL'st In the above applicatIon and accompany 109 documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
\\'hl'n signed by the City Plannn constitutes a temporary Certificate uf Zomng complIance and allows constructwll to commence Befurc occupancy, a CcrtlticatL' of Occupancy must be
ISSlH.'d
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372