HomeMy WebLinkAboutBUILDING 08-0806
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0, z, () f
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08, 0 &Ofp I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 26 q 30 01(,. 0
OWNER~ ~
(Name) ~
~:Scv'- N\. '\. c...r\
(Phone) 7?SJ-447 {{-,5,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conn ti n
CODE: DI.R.C. DI.B.c.
Type of Constnlction:
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)
rnished informatIon on this application which IS III the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
nd that all construction Will conform to all existIng state and local laws and will proceed in accordance with submItted plans. I am aware that the burldmg
e Furthermore. I hereby agree that the my official or a deSIgnee may enter upon the prope!ty to perform needed mspeetlOns
Contractor's License No.
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
Park Support Fee
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permtt Fee $
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Buildln!! Otlicial
Date
TOTAL DUE
This Application Becomes Your Building Permit When Approved
ThiS IS to certify that the reques! in the abllvc applical10n and accompanymg documents IS m accordance with the City Zllning Ordinance and may proceed as requested TillS document
when signed by the City Planner Cllnstltlltes a temporary Certificate llf Zonmg cllmphance and allllws CllnstrUCl10n to commence. Before llccupancy. a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspectinns (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372