HomeMy WebLinkAboutBuilding 08-0200
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-: 2,G. 08
File
City
Applicant
I PERMIT NO. ;;)8.0 z-Oci
I White
Pink
Yellow
n at bottom)
(!E /V7ee.-
ZB(P5
.eo .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
( IV C (Phone) cJ.qo '.:i7 / ~
(Phone) hi 2 - gt;~o c.. q 0 I
) '-S'~. L-
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
DAdditlOn DAlteration o Utility Con
ORe-Siding
DLower Level Finish
Re-Roofing
ctl
o Fireplace
CODE: DI.R.C. DI.B.C. o Mise -~_._-
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I I hereby certify that I have hlfl1lShed mImmatIOn on this applicatIOn WhICh IS to the hest 01 my knowledge true and correct. I also cert,ly that I am the owner m authollzed agent fur the
i .ah."vc-mentlllned P':\1I1el..ty. and th:ralVcoostructlOn wdl conform to all eXlStmg state and local laws and will proceed in accordance wilh submItted plans I am aware that the huddIng
(OffiCIal can revokeJ":.lle_r'!).ll.f(Jrr,;'cause Furthermore, I hereby agree that the City offIcialm a deSIgnee may enter upon the pmpelty to pertorm needed I;:;'OS _,~ ')
!~.--:r ~ --..--.... - Z ~ . ::> .:'~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
MechanIcal Permit Fee
Water Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TIllS Application Becomes Your Building Permit When Approved
Illllldlllg ()fIlcial
Date
$
$
$
$
$
$
$
$
$
ThiS IS to certify that the request 111 the above applicJonll and accompanYlIlg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS d()cumcnt
when Signed by the City Planner clInmtutes a temporary Certificate 1I1 ZOning compliance and allows constructIOn to commence Before lIccupancy, a Certlticate 01 Occupancy must be
i.."iSlll'd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372
Special Conditions, if any