HomeMy WebLinkAboutBuilding 08-0858
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please at bottom)
ADDRESS
llo \ Y ft"r~\J(eL0 Dr. 0.e.
Date Rec.' cy
/u, {(y. '-' (
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08- u f6f;
ZONING (ollicc usc)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER.-->r! /;J n.....-.\.. .
(Name) t;.....~Ctl/r,-\() ,~t(\f)ltGZ-
(Address) llC<);).l{ '9!A.('IL. Vie, 4) Ov St.
(Phone) C1W A.t-+D'~(1 0
.
: BUILDER
! (Company Namelw'Je\r.~~~ Cchiwdtx::<" r:n:.
I (Contact Name) Djc\'.fl.{,\. ---1lc~e('
I (Address) t?-CU.oO JUCll'd~ rzct.*[OO 6ltrYl')0.[~
TYPE OF WORK 0 New Construction ODeck OPorch ORe. Roofing
OAddition OAlteration o Utility ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
lmu/t~
I
I
B
S U
$ Lf:DOD, CO
PROJECT COST /V ALUE
(excluding land)
I hereby ,',Ttify that I have tUllllshcd Int'lrmation on this applicatIOn Wllich IS tll thc bcst of my knowledge tlue and COlTl'CI I also certify that I am the ownel or allthorIzed agcnt Il)r thc
I ,lhllvc.mCl1ttoned property and that all cnnstruction will conform to allexisung state Jnd local laws and will proceed In accordance with submItted plans I am <IWi:UC that the buildmg
I ,,11"elal canll'yoke tillS '<'Imlt to! JlIst CIlI" FlIlthclmOlc, I hCleby agree that the clly offiCIal 01 ,I dc",gnee may entcI upon thc plOpCl1y to pCIIOIm neclkd ltlspee!Jons
i X ~ ~ ___ _-2Q1~~_'63-______, _ to-l5~Q_<6_
l rgnarure Contractor's LIcense No I) ,He
["'ihIS 1S h. J certify that I,he request In tlll'~buvl' applicatIon and ,accompanYIng documents is 111 accordance with the City Zoning Ordinance and may. procccd as rCCJlll..'stcd. ThIS document
\'.:l1cl1 signed by the ('Ity Plannn COnStllutes.1 temporary CertIficatl' of Zomng complIance and allows cunstructJon to commence. Rcfi;)rt.' occupancy, a Certificate tlfOccupancy must be
: IsslIed
I
I
l
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
I Sewer & Water Permit Fee $
~ Gas Fireplace Permit Fee $
I
This Application Becomes Your Building Pennit When Approved
Iluildlllt! Ullicial
Date
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372