HomeMy WebLinkAboutBuilding Permit 08-0675
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
c5UN~Y
Date Rec 1 d
8. Z8. 06
1 White
Pink
Yellow
I PERMIT NO. oS. 0 (p 751
File
City
Applicant
(//~
sw
ZONING (office use)
R.2.s..D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I
PID 25. 2.2-7. 004-. 0 I
OWNER . \). ~
(Name) ~o..'CY\e.SSCA...0 \ 1-, c.c..SS \e 4 t..€ \ffie.:(5., Phone)
(Address)
21Z-~q+44-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch
OAddition OAlteration OUtility Conn
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
Re-Roofing
tl n
ORe-Siding
OLower Level Finish
o Fireplace
o Mise.
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certIfy that I have hlrnIshed informatIOn on this applicatIOn whIch IS III the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent telf the
above-ment ed property and that all Clll1structlOn wlil conform to alll'Xlstmg state and local laws and will pruceed m ilccordilncc with submItted plans_ 1 am aware that the buildmg
official ca re oke 1m 'rml telf Just cal FllLthcrmore, I her' aglee that the City offiCial or a deSignee may entcr upon the plOpelty to pel form needed Inspectl<Jns
~ rt>/z.a/O 0
Contractor's LIcense No Date e
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechal11cal Permit Fee $
Sewer & Water Permit Fee I $
I Gas Fireplace PermIt Fee $
This Application Becomes Y OUIT Building Permit When Approved
l~lIt1dll1g Uniclal
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ $ 7(,.00
ThiS 1S to certify that the request 1I1 tl~,e abdVl' applicatlOn and accompanYIng document.s IS 1I1 accordance with the City Zoning Ordinance and may proceed as requested Tlus document
when signed by the CIty Planncr cnn\tItutcs a tcmpl)rilry Certificate of ZUlllng cumpliance and allows constructlon to cummence Before occupancy, a Cel'tlticatc ()fOccupancy mLlst be
issued
Planning Di rector
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) ~~7-9S50. fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372