HomeMy WebLinkAboutBUILDING 08-0177
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date ReJJ
4-.J~. 0.
File
City
Applicant
IPERMITNO'08~O/771
1 White
Pink
Yellow
n at bottom)
ICfS)
C~
~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER J L
(Name) 0 If,j
(Phone) ?r--)..- ((((7'" 4 ~ yj
(Address)
S~/
(Contact Name)
(Address)
(Phone) <7 r ~- )(!) /-03 %
(Phone)
0/1 Lt t<.t>
FJ
AI-f
TYPE OF WORK 0 New Construction ODeck OPorch
OAddItlOn OAlteration o Utility Conn
e-Roofing ORe-Siding OLower Level fil1lsh 0 fireplace
n
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST /V ALUE
(excluding land)
$
~t!JO~
I hefeby cl'rti have hlrnish d mfnrmatlOll on this application which IS to the best of my knowledge true and COITect I also certIfy that I am the owner or authorized agent for the
ahllvc- tlllned property and tl t all eLlnstructllln will contl)rm to all eXlstmg state and ILlcallaws and will proceed m accordance with suhmltted plans. I am aware that the hllIldmg
lal can revoKe 111lS p' It rrthcrmorc. I hereby agree t the my official or a deSIgnee may enter upon the property to perhlrm nel~;(;:"C'f
Contractor's License No. Date
Permit ValuatIOn
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Gas Fireplace Permit Fee
llulldlll~ UI'Iieial
Date
ThiS is to certify that the request in the above application and accompanYlllg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS d()cument
when signed by the City Planner constitutes a temporary Certificate of ZOI1mg compliance and allows cunstruction to commence BefllH.' occupancy, a Certificate t)f Occupancy must be
issued
Special Conditions. if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372