HomeMy WebLinkAboutBuilding 08-0886
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/u.2/ Of)
ADDRESS
J t{ k, <;" '& IF 4-tt-~V s if /),.1 /
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
,ADDITION
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 08.0 lJ 8 (p I
I I ZONING,_=> I
I
PID
OWNER bu 1 . r-.
(Name) ~+..7 "U-r~
(Address) [t-l.h~ -n---I ~rs -rrt. . Prr 6Y ~
(phone) CfS2--L{t.{O-7St{8
Ml:J ~:S72
(phone) bS{-Io&&-7kOZ
(phone) 0$ ( -<-(7tJ - $'0 5'0
I'ttU S"S" {) b
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddiition DAlteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of CODSt:rudion: I
Occupancy Gronp: A B E
Division:
II mIVVAB
F HI MRSU
1 2 3 4 5
o Mise:
PROJECTCOST/VALUE $ 3trOl>. I()
(excluding land)
. he information on this application whim is to the best of my knowledge true and correct. I also certi1Y that I am the owner or authorized agent for the
d all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware at the building
. fo just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in~ 'ons.
c20s0?fV:2 /c2:;7/ a
Contractor's License No:"--
----
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
1bis Application Becomes Yow' Building Permit When Approved
Building Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $7&. (J7)
This is to certi1Y 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 rompliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372