HomeMy WebLinkAboutBUILDING 08-0180
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-. I~, ~b
I White
Pink
Yello\v
File
City
Applicant
I PERMIT NO. O~. d I eo
/ a. I1/L.-
wi/lo fA)
s.w.
ZONING (ollicc use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
i BUILDER /. . '.LA j,
I (Company NameLC:1LJ~'-Ear e <2... r'\ Lo" ~ T7'r.)Cn Ol'l
i (Contact Name) .JerSCI S,tf~Je t1 t:-
~ ~ 1VI0~ J 1tvtl
~f Inc.
(Phone)
(Phone)
6$/ - :1.01 .-~ 170
fey u (
(Address)
<;f.
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level finish 0 Fireplace
DAddItion DAlteration o Utility Conne tlon
CODE: DI.R.C. DI.B.C. o Mise
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certIty th
.lbl)Vt'-mcntlOnc
(lfticial can rcvo
x
Permit Valu
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee =1 $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$
$
$ 1~, 0 u
TOTAL DUE
This Application Becomes Your Building Permit When Approved
lllllldlll~ Olflclal
Date
ThlS IS to certify that the request In the abllVL' application and accompanYlIlg documents is In accordance with the City Zoning Ordinance and may proceed. as requested TI11s document
when signed by the City Planner constitutes a temporal)' Certificate uf ZOl1mg cumpliance and allows constructIOn to commence Before occupancy, it Certificate l)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