HomeMy WebLinkAboutPlatform Permit 08-0042
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
I PERMIT NO. z-"'JJ;1ok.
6"Yi
Ca~
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT /7 BLOCK
(Address)
ADDITION
C6.ve ~rlc
PID
OWNER
(Name)
(Phone) 9 S 2
BUILDER
(Company Name)
(Contact Name)
(Address)
G re '\
FE.-l r
(Phone)
(Phone) CfS2 y q lp ~O '/7
TYPE OF WORK 0 New Construction eck OPorch ORe-Roofing ORe-Siding OLower Level Finish
OAddition OAlteration \ ~Utility conn~n,Q,f.IIltUil,.JT
CODE: DI.R.C. DI.B.c. P ~lK'(II. 0 Q( Mise .p 4 \/-4!... 0("
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
o Fireplace
~a.. +-~ o/f/~ D6Ut
PROJECT COST /V ALUE
(excluding land)
$
I hereby certifY that ( have nlrnlshed In!tJrmation on this applicatIon which is to the best of my knowledge true and correct. I also certIfY that ( am the owner or authOrIzed agent for the
above-me prope and that all constructio .11 conform to all existIng state and local laws and will proceed in accordance with submIlled plans. I am aware that the buildIng
omc. can revoke t ermlt for Just cause F er ore, eby agree that the CIty official or a deSIgnee may enter upon the property to perform needed InspectIons
9- /~--- cJ r
,
Contractor's License No,
Date
This Application Becomes Your Building Permit When Approved
Paid
Date
!VIe:
9-IS-og
# $
# $
$
$
# $
# $
$
$
$
Receipt No.
By
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
Buildll1!! Otliclal
Date
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 Cit Planner CLlnStIt " emporary Certificate of ZonIng compliance and allows constructIon to commence. Before occupancy, a Certlticate of Occupancy must be
issued
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Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any