HomeMy WebLinkAboutBuilding 08-0070
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
z ,2-(p _()~
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08, oo7() I
,
at bottom)
ZONING (office use)
(Please
ADDRESS
5bbft,
/6()HJ
~5i~
S~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID -ZS. l-zJj .00:) .0
OWNER A /, ,II f
0NameJ IVcSVVC~
(Address) 5brc,
~ eN sioru
1f50./-h $6 s~~
(Phone) 9fia
- i fJiJ1
BUILDER
(Company Name)
(Contact Name)
(Address)
...... Desip ,......, -
Jim 'Gitt Doutlas Drive s.:..
HafiIp, MN 55tJ3
(Phone) w/1err 0 c:f ~
(Phone)
TYPE OF WORK 0 New Conslruction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection 0 Misc.
OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
~ ~ eaJ
~~_.
~
oj>'
Date
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
This Application Becomes Y OlJlr Building Permit When Approved
Building Ofticial
Dat~
ThIS IS to certifY thatthc request In the above applicatIOn and accompanying documents is In accordance with the City Zoning Ordinance and may proceed as requested. ThiS documcnt
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372