HomeMy WebLinkAboutBuilding 08-0826
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 08. 08.z..G:,!
]
U~;/ck rJ/ r 5'5
7 r/t/E
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&=e~R 1/ /a ell /T) / r ~. c /. Lj 0 /:.' n
'-/
(Address) I 7 () 50 >' c c 'rrc~ '/ ,{/ c:::-
(Phone) ~5'3'G~?G~.3329
'j~/C)/~ c:../q 'e (7 A; 0'5 j' 7
~~~~~Name). fiEt ~)/)Sil~tJ{?/ lOt? -1- /l (i
(Contact Na~e) 70/7 y jei ~'cJ.5'5/'/J 4
(Address) 9555 -L:{.JY)c"5' Aut'. s., 1360 n
(Phone) C/52.g:Jg. /hu
(Phone) 952" <~55' Y&O s'
J~ ,;[/ 5~C/' 3
TYPE OF WORK 0 New Construction DDeck DPorch fflR:e.Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition DAIteration DUtiIity Connectfu~
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
DMisc:
I
E
IT
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
12,
I
50LJ
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
above-mentioned property and 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 building
official can revoke this per it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X f ~6;L-/4() ,,2- /c1~r(J/?
1 ature Contractor's License No. I Dat
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This Application Becomes Your Building Permit When Approved
Buildinll Official
Date
$
$
$
$
$
$
$
$
$
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of 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 S.E., Prior Lake, Minnesota 55372