HomeMy WebLinkAboutBuilding 08-0501
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~(...rI'Y elL/"? he II
~ r-7 t, I=V' ,7"t: I!/ U/
Date Rec' d
1 ~(() y
1 White
Pin!.;
Yellmv
File
City
Applicant
PERMIT NO. 08". 050/
ZONING (office use)
(PhonC(7>~)Y'{J- - I%~ y
(Address)
t1"<,,,,,,- LeAL-
BUILDER ""
(Company Name) l:--to~ ~
(Contact Name) ~-
(Address) Y6,JS- ./f./{' .
(1 co., ~"1. f.:)iv~/'D A .S
.s R~
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditlOn OAlteration o Utility Conn
(Phone) (,0 75'Y .2Cdti?
(Phone) 'iJ7),.. '-e'l 16;;">
ORe.Siding OLower Level finIsh 0 Fireplace
CODE: OLR.C. OLB.C. o MISe.
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that [ have turnlshed l!1formatlOll on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner ()l" authOrized Jgcnt for the
.lhove-mentlOncd property and that all construction WIll conform to all eXlstmg state and local laws and WIll proceed in accordance with submitted plans. I am aware that the buildmg
of' ,'al can revoke tillS permIt t'Jr Just 'ause Fmthermore, I hereby agree that the CIty official or a deSignee may enter upon the pmpeny to pertlJrm needed l!1Spectllll1S
, ;~,e~ ~/J.. 7--<.1 -- C:XJ
IgJl(a('[lfe Contractor's License No, Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
I Gas Fireplace Permtt Fee $
This Application Becomes You!" Building Permit When Approved
Buildlllg Official
Dale
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
O()
ThiS IS to (e!tIty that the request In thl' above application and accompanYl11g documents IS in accordance with the City Zoning Ordinance Jnd may procecd as requested ThiS documcnt
when signed by the City Planner constItutes a temporary CertIficate Llf ZLlnmg compliance and allows construetllln to commence Befme occupancv, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notiee for all inspeetious (952) 447-9S50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372