HomeMy WebLinkAboutBuilding 08-0606
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CITY OF PRIOR LAKE BUILDING fEKMll,
TEMPORARY CERTIFICATE OF ZONING CO~PLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
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Pink
Yellow
I PERMIT NO. () B. 0& D " I
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&':'e~R ({O be/ f '& [;0'
(Address) S- S". /fe
6et/I'')
xc!
(Phone) QS2- LfY7'&70~
(Phone) ~/2." 3gb.?)7 S-
(Phone)f:I!l. -209..S-79 ~
TYPE OF WORK 0 New Construction ODeck o Porch '1)(Re-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
OAddltion OAlteration o Utility Connfction
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
o Mise
B
S
$ is; ()OO
OI!1
-
U
PROJECT COST IV ALUE
(excluding land)
x
I hereby certify that I have hIrnIshed Information on this applicatIOn which IS to the best of my knowledge true and mrrect. I also certlty that I am the owner or authorized agent for the
above-mentlOned property and tl t all nmstruction will conform to all eXlSt10g state and local laws and will proceed 10 accordance with submitted plans. I am aware that the build10g
official ca revoke t s permIt fJ Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed 10spectHms
//79 t"-/3-o?
Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
:
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Buildlll!! Otlicial
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$ -
This IS to certify that the request in the above applicatIon and accompanYIng documents is in accordance with the City Zoning Ordinance and may procccd as requested ThiS document
when signed by the CIty Planner constItutes a temporary Certificate of Zomng complIance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
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