HomeMy WebLinkAboutBuilding Permit 08-0848
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CITY OF PRIOR LAKE BillLDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1(1. 13. (~
~_M_mM:":
I ADDRESS
11I?<?1 eJ At .
sw
1. White File I PERMIT NO () ~
~::w ~:;ic.nt . 08. 8'rDi
I ZONING (offire~) I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
Pill Z s::1'~. () 0 I. L)
OWNER ])
(Name) '().Jla~
(Address) J
(phone)
(fjs-a).!J!j 10-9 DfDO
N 55
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C. ~Misc:
Type of Construction: I II m IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST IV ALUE $
Division: I 2 3 4 5 (excluding land)
I hereby certifY that I have furnished infurmation on this application which is to the best of my knowledge true and correct. I also certity 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
o~t for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ 3Q03 jO-7--o'fJ
Signature Contractor's License No. Date
Permit Valuation 2 <;"cY'O.. - Park Support Fee
Permit Fee $ -rLl-i'" SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
State Surcharge $ \. L--, Pressure Reducer
Penalty $ SewerlWater Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
# $
# $
$
$
# $
# $
$
$
$
This is to certity 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
Date Special Conditions, if any
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake. Minnesota 55372