HomeMy WebLinkAboutBuilding 08-0326
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please n at bottom)
ADi75w :5UftJ (l A-
ell\.
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Date Rec' d
~ s,oY
I White
Pink
Yellow
I PERMIT NO. 05. O]Z- '1
File
City
Applicant
ZONING (office use)
PID
(Phone)
(Address)
BUILDER
(Company Name)
(Address)
'f1')(r- 'Tn--L
I~PhOne)
(Phone)
L/4o St-/~
L-
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Pinish 0 Pirepl<lce
OAddition OAlter<ltion OUtility ConnectIon
CODE: DI.R.c. DI.B.c. o Mise. -~-~_._-- --..-
Type of Constmction: 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 hllnlshed mformatlon on this applicatIon which IS to the best of my knowledge true and COlTect. I also certIfy that I am the owner or autllOrIZed agent tor the
above-mentlllned property and that all onstructllln Will conform to allexlstmg state and local laws and will procced m accordance with submItted plans I am aware that the buildmg
Ina revoke t111S p , It f'. use Furthermore, I hereby agree that the City official or a deSignee may enter uplln the property tll perflJrm needed mspectIons n
X -__ 6 -? ,to 15
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee i $
! Sewer & Water Permit Fee I $
I Gas Fireplace Permit Fee $ i
This Application Becomes Your Building Permit When Approved
Bulidlllg Urtieial
Dale
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8", I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $
ThIS IS to certify that the requl'st in the above apphcatHJI1 and accompanYlIlg documents IS II1 accordance with the City Zuning Ordinance and may prncl'l'd as requested ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows cnnstructlOn tL) commence. Before occupancy, .1 Certllicate of Occupancy must he
lsstlcd
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372