HomeMy WebLinkAboutBuilding 08-0360
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CITY OF PRIOR LAKE BUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(P1,~ "" "' prin' Md ':n" bottnm)
ADDRESS
IL/L'7:- (:,aJ,
h"1 c"" n
t'1-.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
DM~ R~c lJl
t (I. (if
1 White
Pink
\lel1ow
I PERMIT NO. J'" - tJ.3G (') I
File
City
Applicant
ZONING (office use)
IV 2..
OWNER
(Name)
(Phone)
(Address)
fV1i"f'r', Ll
Dr. La.A
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditlOn OAlteration OUtility Connec
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
IV V
I M
3 4
I
E
II
F
I
III
H
2
A
R
5
}::n~.
763- '1c2L)~;2 70;:;
-
(Phone)
(Phone)
P7JV
~
-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Misc
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I heleby cntity that I have hllmshed mformatllln on this application which IS to the best of my knowledge true and correct. I also celtlfy that J am the owner or authonze,! agent 1('1 the
abllve-mentlllned property and that all constructllll1 will conform to allexlstmg state and local laws and will proceed m accordanee with sllbmltted plans I ,1m aware that the bulldmg
official can. T t 1L permit for Just cause Furthermore, I hereby agrec that the Clty official Of it deslgnec may enter upon the propelty to perform needed mspcc!lons
<::/"---
x
Signature
Permit Valuation
Permit Fcc $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee i $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fcc $ i
This Application Becomes Your Building Permit When Approved
Iltllldll1g Umcial
Date
:;;'031 '7'( '1 S-
&-11-0 :r
--~~-----
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; S
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThiS IS to certify that the request in the above application and accompanY1l1g documcnts is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
\vhell signed by the City Planner constItutes a temporal)' Certificate uf Zonmg compllance and allows constructwn to commence. Before occupancy, a Ccrtlticatc (}f Occupancy mllst be
issLlcd
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372