HomeMy WebLinkAboutBldg Permit 08-0568
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Date Rec' d
I White
Pink
Yellow
I PERMIT NO. 08~b8
File
City
Applicant
ZONING (office use)
PLtP
LEGAL DESCRIPTION (office use only)
LOTA-- BLOCK \ ADDITION C ()..,~ ,"-/.-\ ~;.\,~
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OWNER
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(Address)
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BUILDER
(Company Name)
(Address)
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ORe-Siding OLower Level FinIsh 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch e.Roofing
OAddition OAlteration OUtility Connection
CODE:'diI.R.C. DI.B.C.
Type of /!'&struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
o Mise.
PROJECT COST IV ALUE
(excluding land)
$'~a
! I hereby certify that I have fUrIlIShed mtiJrmatllln on this applicatlon which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent for the
I above-mentIOned property and that all constructIOn will cont(lrm to all eXlstmg state and local laws and will proceed in accordance with submitted plans~ I am aware that the buildmg
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~ '- Signature Contractor's License No. Date
Permit Valuation -
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
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D,te
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 1- to .00
r#r#t08~ I ~~ceiPt NcFLO
Paid
Date
ThiS IS to certify thai the request m the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested~ ThIS document
when signed by the City Planner com;tltutcs a temporary Certificate of Zoning compllancc and allows constructIOn to commence. Before occupancy, a CertIficate ofOcclIpancy must be
isslIed
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