HomeMy WebLinkAboutBUILDING 08-0001
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
/Lf0(;;0 vJd Os
'KLJy
Date Rec' d
If. uJ
1 White
Pink
Yellow
I PERMIT NO. 08. () C> 0/ I
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
9:V\Clf Q
:JOh n
c...JC
CND +.
Shcvl\.rlJ
,
cJf ~~ ~v
(Address)
'1w
TYPE OF WORK 0 New Construction ODeck OPorch
OAddltlOn OAlteration o Utility Conne
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
5<,1.
(Phone)
(Phone)
I
0(? - J z.. 7 - Lj'(E7
5+-.
~
55'v' 75
ORe-Siding OLower Level Finish 0 Fireplace
o Mise.
B
S U
PROJECT COST /V ALUE
(excluding land)
$
I hcrcby certify that I havc hnnlshel!mformatlon on tillS appllcatlon which IS to the best of my knowledge true and correct. I also certify that I am the owner or autho!lzcl! agent 1(1I the
JhnVl'-mcntlOncd. .opcrty and t at all construction Will confLlrm to allexlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the btllldmg
official can - ok hiS m r Just callS' ~t1rthl'rmorl', I hereby agree that the City official or a desIgnee may enter upon the prope11y to perform needed mspcctlol1s
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechamcal Permit Fee I $
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
lluildlllg Urticlal
Date
Contractor's License No
/- j -CAY
Date
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water ConnectIOn Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
TIllS IS to certify that the request lI1 thc abllve appiIcatlnl1 and accompanYll1g documents is 111 accordance WIth the City Zoning Ordinance and may proceed as requested ThiS dllCument
\\'!H.'n signed hy the City Pt1l1l1CI' constItutes a temporary Certificate of Zunll1g complIance and allows constructIOn to commence. Before occupancy, a Ccrtlticatc of Occupancy must be
ISSllCd
Planning Director
Special Conditions, if any
Dale
24 hour "otier for all illsprrtiolls (952) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372