HomeMy WebLinkAboutBuilding 08-0496
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
~83 '3 '-T7mb-e r .r;.-
Date Rec' d
7~ r8,.C'{)
1 White
Pmk
Yellow
File
City
Applicant
I PERMIT NO, Of; . O+1~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
4--ro
EVe.~'Jr~_e..1' (l.-; sft vchc/"
,):'mt;.)., krcm e. r
IX
n.."., if ~e
(Address)
TYPE OF WORK 0 New Construction ODcck OPorch
OAdditlon OAlteration o Utility Con
(Phone) ['.? 5 /) ,:2c.l ~J- '7 i "3 Ci
(Phone)
e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
n
CODE: OLR.C. OLB.C. o Misc. _._~-~-- --..._----
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $
Ocrupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
Signature
Contractor's License No.
7' //,.1/ fi~~
/ D~e
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I
Mechanical Permit Fee $
Sewer & Water Permit Fee I $ I
Gas Fireplace PermIt Fee =J$
This Application Becomes Your Building Permit When Approved
llllildlllg Ufficlal
Datc
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
~ cO
ThiS lS to certify that the request 111 the above applicatiOn and accompaoYll1g documents is 111 accordance with the City Zoning Ordinance and may procccd as requested ThiS document
when signed by the City Pliloncr consLtutcs J. temporary Certificate uf Zoning compliance and allllws construction to commence Before l)Ccupancy, a Certificate llf Occupancy must be
isslIed
Water Meter Size 5/8",1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Planning Director
Datc
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any