HomeMy WebLinkAboutBUILDING 08-0209
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd u )
4-, 7./j {IV
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. (j yr. 0 l,oyl
n at bottom)
Ictv\(t
l}J 1\ ( 10 lJV
~w'
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
i BUILDER r C (QeV1
I (Company Name) rJe. ~.
I (Contact Name) -Jq 0 ,
I (Address) OJ 70 A~'
f t\ C
b <; I -- ;:J. 67--'? 1.50
ve
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration OUtility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
o Misc.
$
<5{)(){)
B
S
A
R
5
IV V
I M
3 4
III
H
2
II
F
I
U
PROJECT COST IV ALUE
(excluding land)
I hercby ccrtity that I hav
,lht lYe-mentIoned proper
()fticial can rcvnkc thlS p
x
Contractor's License No
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Iluildlllg Unlcial
Date
$
$
$
$
$
$
$
$
$
ThIS IS to certify that the request in the abllVL' apphcatlOn and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested. ThlS document
when Signed by the CIty Planncr constitutes a tcmpurary Certificate uf Zonrng compliance and allows construction to commence Befmc occupancy, a CertIticate of Occupancy mllst bc
Issued
Special Conditions, if any
Planning Director
Date
24 hour notie~ for all insp~ctions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372