HomeMy WebLinkAboutBuilding Permit 08-1025
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
,2-. '2-3_ oJ""
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133 ~ "l!'rJ,p~/-
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. [3.
{02 ~
C .I"--y c/ e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) g;rj/~ '7
(Address)
/7~g/'ey'Jph
~T~ .P?t?h~
ZONING (office use)
(Phone) 7s.e - ~Y&'- $'3176
7'
2
BUILDER
(Company Name) l.i//".5:1V.TA
/'-'1 / "l::- c
/ ?'A
Cl" ~ Y"
(Contact Name)
(Address) ?;7p IP
/7V~
'>~P7/db
(Phone) 7~J - S-r/-t:?J&'~
(Phone)
~vrd
/-In
TYPE OF WORK 0 New Construction ODeck OPorch ,.8Re-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:
I
E
II
F
1
III IV V
HIM
2 3 4
A
R
5
o Misc.
B
S U
$ /1;,5!/?~
PROJECT COST /V ALUE
(excluding land)
I hereby certily that I have hlrnlshed mt(,rmatlon on this application which is to the best of my knowledge true and correct. I also certlIY that I am the owner or authOrized agent for the
above-mentIOned property 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
official can revoke this permit for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed inspections
X /~ ~ d~ 'pL)/cfSS~/? /.e-.2<f-P~
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 $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BuildUH! Ot1iclal
Dale
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 $
ThIS IS to certlIY that the request m the above application and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compltance and allows constructIon to commence. Before occupancy, a CertIticate 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 Prior Lake, MN 55372