HomeMy WebLinkAboutBUILDING 08-0243
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellm\
File
City
Applicant
PERMIT NO. 66..24 ~
3~
lie
ZONING (office use)
Sr.
ST~t..--
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name) il4}.Jk
'-
(Address)
w,lr<-~(
1<25r~[' (
(Phone)
5r;
..:5 lA./ ,
I
I BUILDER
I (Company Name) )fA1.A1 ~ /,lJb Lt?;U:5/i
i (Contact Name) ..:rA50tU 5(MMtA(tU6
I (Address) l.(3:J... . c.)Tff U77C),u LAra ~L..(/LJI
(Phone) "95d-d9~ -s-R/;>tI'
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration o Utility Connection
CODE: ~.C. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
o Mise
I
E
III
H
2
IV V
I M
3 4
A
R
5
B
S U
II
F
I
$
PROJECT COST IV ALUE
(excluding land)
I hl'l"L'by certify that 1 havL' hJrI1Ishcd mformation on this application which is to the best of my kno\vledge true and correct. I also certify that I am the owner or ;luthnnzed agent t()f the
.lbnvC-mentlOI1cd property and that ,.Ill cnnstruction will conform to allexIst1l1g state and local laws and will proceed 1I1 accordance with submitted plans. I am aware that the huildll1g
iltflcial can revoke permit fm JUsc cause Furthcrmme, I hereby agree that the City ilfficial or a designee may enter upon the propeny to pert()rm needed IOspectHH1S
Permit Fec
Plan Chcck Fec
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
?oO 1?'73
Contractor's License No.
s- - g,-ucf>
Date
$
"2S-<90. -
l .1)
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
{~--
\ . Z--~
Water Metcr Size 5/8"; 1",
Pressurc Reduccr
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
~-
..- J I
. i;' I 00
,
I ~~celPt~OiJ!f-_"\l2-'-
I
ThiS IS to certify that the request in the abuve applicatlOn and accompanYll1g documents is 111 accordance with the City Zuning Ordinance and may pnKL'cd as requested ThiS document
when signed by the City Planncr cconstItutes J tcmporary Certificate uf Zon1l1g cnmpl1ancL' and allows construction to commence. Before occupilncy, ;\ Certlticate llf Occupancy must be
issued
Planning Director
Date
2.. hOllr noticc for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake. MN 55372
Special Conditions, if any