HomeMy WebLinkAboutBuilding Permit 08-0511
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/63~"o \r6l,-kA-ve- ~E
7. 2:1 Ob
White
Pink
Yellow
I PERMIT NO.O& ~ ()5/ / I
File
City
Applicant
ZONING (omce use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(j (y)S-. Cq~_S.7('...
(Phone) crs a. - 290- 3 6&>6
(Phone)
(Address)
(LI "' q E I ~ _' r .-l
I .j 0 - v" '-C<-,A- ~. r ~
u-
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration o Utility ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
o Mise.
B
S U
$
PROJECT COST /V ALUE
(excluding land)
I hereby certify that 1 have furmshed Information on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that 1 am the owner or authllnzed agent for the
above-menl1oned property and that all construction WIll conform to all eXisting state and local laws and will procecd In accordance with submitted plans I am aware that the building
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Signature Contractor's Ltcense 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
Buildl11!! Otlicial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$
?Iu '-
ThIS is to certIfy that the request In the above apphcatJon and accompanYIng documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the Clly Planner constItutes a temporJlY Certificate of Zoning complIance and allows construction 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