HomeMy WebLinkAboutBuilding 08-0937
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
It (.u(;1
File
City
Applicant
I PERMIT NO.O r.. D 1~71
I
White
Pink
3 Yellow
S1J
l(,rD SSQ,,;Vq
~r
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
~'::e~R ~~fl'\ 1 . r
(Phone) 9' S (). lit( tJ Sl;tr
(Address)
BUILDER
(Company Name)
(Contact Name) ; Q
(Address) q 7
~Ol'\..
(Phone)
(Phone)
b>1
bSf
tl
;. t::J.,
775
J I ;rtJ
'-(/3"-6
TYPE OF WORK 0 New Construction ODeck OPorch ~-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAdditlon DAlteration DUtility Conne/io-n'
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
D Mise.
A
R
5
B
S U
III
H
2
IV V
I M
3 4
I
E
x
#
#
PROJECT COST IV ALUE $
(excluding land)
7tx{)
on this application w to the best of my knowledge true and correct. I also certlfy that I am the owner or authorIzed agent for the
all eXlstmg state and local laws and will proceed in accordance with submlttcd plans I am aware that the buildmg
'eby agree that the CIty official or a designee may enter upon the propeny to perform needed m: ectlO
?OS '17 (j.1J1/
Contractor's License No.
I hereby certity that I have hi
above-mentlOned property a
orticial can revoke thiS per
Park Support Fee
SAC
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Date
BuildllH! Otliual
$
$
$
$
$
$
$
$
$
--
ThiS IS to certlty that the request 1Il the above applicatlon and accompanYlllg 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 ZOlllng 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 Prior Lake, MN 55372