HomeMy WebLinkAboutBuilding 08-0763
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I Whlle
Pm\..
3 Yello\\
File
C]t~
Applicant
I PERMIT NO. () e. o7r,J \
~AQl U1 d
} 40'~i
,)
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
,.(
BUILDER
(Company Name)
(Contact Name)
~.
(Address)
/
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
n
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECTCOST/VALUE ~(p ,DOo, 00
(excluding land)
I I hereby certify that I have ed information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned pro and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
X IS permit for st c ore, I hereby agree that the city official or a~e16LC Zel s25Jjerty to perform 37inj' 1 ~ g
Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Valuation '.I
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
$
$
$
$
$
$
$
$
$
tq~ ~ ~
~NO ~~<fS
This Application Becomes Your Building Permit When Approved
Paid
Date
BlIllding Official
Date
This is to certify 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 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
4646 Dakota Street S.!':., Prior Lake. Minnesota 55372