HomeMy WebLinkAboutBuilding 08-0230
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT qS'"""fr?
I White
Pink
Yellow
File
City
Applicant
PERMIT NO.Oi"- Oz,~t)
ZONING (office use)
vg
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Address) /.5
p~~......, d(VIJ/
(Phone)
,."
/~~P~
v~.
BUILDER
(Company Name)
(Contact Name)
(Address)
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,/JA-t-C- ~~JtJ-t
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C::,.,; .rr~ r/,A/ (Phone (t/~) .J z.,.S-- ~p"l7
(Phone) 5,,4-iN' G-
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TYPE OF WORK 0 New Construction OOeck OPorch )8R'e-Roofing ~-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: ~LR.C. OLB.C. o Mise.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E H I M R S U
Division: 2 3 4 5
/t./ /Vl-> ~
PROJECTCOST/VALUE $ --4-~
(excluding land)
I hereby certify that I have hlrmshed mfmmatlon on this appltcatlon which IS to the best of my knowledge true and correct. I a\so certify that I am the owner m authollzed agent 1\1I the
above-mentioned property and that all constructllll1 will conform to all eXlStmg state and local laws and will prnceed m accordance with submltte(j plans I am aware that the buildmg
official can ' , thIS per 'or Just cause Irthermore, I hereby agree that the City official or a deSignee may enter upon the propelty to perform needed 1 spc tHlns
x
Permit Valuation
Permit Fee $
Plan Check Fee $ ----
State Surcharge $ ,2,..S-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
# z,i)IJo!~l-
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
Other
Iluildlllg Urtlclal
tfS~fr
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
ThiS IS to certify that the request m the above applicatlOn and accompanymg documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner cunstltutes a temporary Certificate uf ZOl11ng cumpllance and allows construction to cummence Bcfme occupancy, a Certllicate of Occupancy must be
issued
Planning Director
Date
24 honr notice for all inspections (952) ~~7-9850. fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any