HomeMy WebLinkAboutBuilding Permit 08-1024
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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Pink
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I PERMIT NO. 8, , 02-4-1
File
City
Applicant
c-:r.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name) /14 e~ ~ ~
CT
(Address) / t7 /' t7
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BUILDER
(Company Name) ~?5:1-C/,Y/7
(Contact Name) ./VJ ,. /t:::-~
(Address) '? ./""t?t:'" /./ A
ZONING (office use)
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A/J- ~ (,?~.?' (Phone) 9:S-.2... 2.1~-~~<:-;7
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(Phone) ;/63 -- (:S-~/-'6;7 o~
(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch ,gRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditJon OAlteration OUtihty Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III IV
H I
2 3
V
M
4
A
R
5
I
E
II
F
I
o Misc.
B
S U
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PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have furnIshed mformation 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 property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the blllldmg
official can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propeny to perform needed mspecllons.
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r 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
Date
l3uildll1!! Ofticlal
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
ThiS IS to certify that the request in the above applicallon and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the CIty Planner constItutes a temporary CertIficate of Zonmg compliance and allows construcllon 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 Prior Lake, MN 55372