HomeMy WebLinkAboutBuilding Permit 08-0920
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
C~I)t/ Cvi- 7\.
I White
Pink
J Yellow
File
City
Applicant
I PERMIT NO. CI ~ ,
92c'l
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~btA./
(?~Y
~,+-tA)
S378
G,v€-
~.
(Address)
BUILDER --r;;.
(Company Name) / /frL. W~~ /11A"fn~
(Contact Name) ~L> ::TO #.A/..S'f7N
(Address) ~"'-tJ N-<. ~
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Connection
(Phone)
tbl''l..- 9"1 -2 J 7 S-
UI-
L:;,v{'J
(e, iL 7"1-:AJ'7~
(Phone)
(Phone)
ORe-Siding DLower Level Finish 0 Fireplace
J
I
CODE: DI.R.C. DI.B.C. o Mise //1
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ ~8 &lVi'
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
t I have hlrnIshed rntiJrmatllln 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 t<lI the
ro -ty 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
e t t fo >reby agree that the City offiCiaII~d~g;; m;y;n~ u;j:e propelty to perform needed Ilc77/0 !
Signature Contractor's License No. Date
x
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
---------- ;-
~---
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ --:>;( C~L
/ "
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 Zonmg compliance and allows construction to commence Before occupancy, a Certltieate 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