HomeMy WebLinkAboutBuilding Permit 08-0624
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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
1. While File
2. Pink City
) V c1low Appliclm
I PERMIT NO. 08 "o,,~
I I WNlNG<om_> I
I
krQUE=>
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Ut
OWNER
(Name)=-rLh \(~ 't- ~U''IY\. S::tUe.r
(Address)
(Phone)
BUll.DER
(Company Name) {..L; \t.e.\.(')~,a";:.
(Contact Name) ~~ .6,:.
(Address)
-=R~~-e.Q:v'\~
5-te0e.. H; \\ex-
(Phone) CJ.5:j- 'Y!it - 5S'>: ~
(Phone) "I 3:$ - 8.s~
IJ\ t-::> 5S'-t ;;to
.......
TYPE OF WORK 0 New Construction DDeck DPorch ORe.Roofing Oq'Re.Siding
OAdclition OAlteraticn OUtility Connection 0 Misc.
CODE: OJ.R.C. OJ.B.C.
Type of ConstIUction:
Occupancy Group:
Division:
J
E
II
F
1
JUlY
H J
Z 3
V
M
4
A
R
5
A
B
OLower Level Finish
o Fireplace
oc...
s _\3,6::::x:> -
B
S U
PROJECT COST IV ALUE
(excluding land)
x
I ht,-eby certify that I have furnished information on this application which is 10 the best of my knowledge lrUe and correct. I also certify that I am the uwner or authorized agent for the
above-mentIOned and thaI aU construction will conform to all existing state and local laws and wiU proceed in accordance with submiued plans. I am aware that the building
official vo thO it for just ca ermon:, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
, a04-43c>co Ie ---tf- 7-0;Y
Contractor's License No. Date
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee $
This Application BecoRtes Your Building Pennit When Approved
Buildinlt Ollieiol
Date
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # $
Builder's Deposit S
Other $
$
ThIS is to Certify that the request in the above app'ieation and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requf.'Sted. This document
when signed by the City Planner conslitutf.'S a temporazy Certillcate of Zoning compliance and allows conslrUction to commence. Before occupancy. a Cl'TtiflCllte of Occupancy must be
issued
Planning Director
Date I Special Conditiolll, if any
24 hour notice for alllnspectlonl (9!12) 447-98!1j1. fax (9!12) 447424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372