HomeMy WebLinkAboutBuilding 08-0206
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~2r;dr
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. O?- O~~
/{~/l/ ,S-/-.
ZONING (office use)
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JL~
S'D
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK I ADDITION
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AdU/-r- ·
PID 2
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~=R /7}//f~ 4~/55~K
(Address) ~S ~SC) I /(//?/- (<)J - <-5 (--J
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
~LA ROOli'TNO &. RRMOnF,T .ThIn, ThIe;
4100 EXCELSIOR BLVD.
ST. LOUIS p~ MN 55416
(Phone) 95::) -7/~- '7 d d
(phone)
TYPE OF WORK 0 New Construction DDeck DPorch ~-Roofing
DAddition DAlteration DUtility Connection
Re-Siding DLower Level Finish 0 Fireplace
CODE: RtI.R.C. DI.B.C.
Type of &nstruction:
Occupancy Group: A B
Division:
o Misc:
PROJECT COST/VALUE $ Ji ~CC; ~
(excluding land)
II
ill IV V A
HIM R
2 3 4 5
B
S U
information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authotized agent for the
c truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspe . s.
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Contractor's License No.
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
.25"
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7~. 0tJ
Permit Valuation
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ ~ .yR?~P'
Building OtTicial ' Date
Paid
Date
~.OD
ZY(ll Y
I ~;cei~o. ~S" I c..
r.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constirutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any