HomeMy WebLinkAboutBuilding Permit 08-0271
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
LA K-6S/De:-
/fR,z9z-
Date Rec' d
5: 2 0. Cy/
I White
Pink
Yel!mv
I PERMIT NO. 08 ~ 0 Z 7 / I
.
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
::rASO /J
4'r z , 300 ()
SIHd.'/CMJ(j
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch
DAdditlOn DAlteration OUtility Con
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
ORe-Siding OLower Level FinIsh 0 Fireplace
o Mise
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
I hereby ccrtlty that I have hlfmshcd mformation lm this application which IS to the best of my knowledge true and COlTcct. I <list) certify that I am the owner or authorized agent for thc
JhllVC-mentlUned property and that all constructlon will conftJrm to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
offiCial can rev t IlJr Just use Furthermore. I hereby agree that the City official or a designee may enter upon the propeny to perll)rm needed mspcctHll1S
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BUlldlllg Urticlal
Date
';}oo J 7/ 7 ~
Contractor's License o.
~~' 0/
Date
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
ThIS IS to certIfy that the request m the above applicatIon and accompanY111g documents is 111 accordance WIth the City Zoning Ordinance and may prDceed as requested ThiS document
v.'hcl1 signed by the City Planner cnnstltutes a temporary Ccrtitkate of Zomng comphance and allows construction to commence Before nccupancy, a Ccrtlticate llf Occupancy must he
i.'islIcd
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9S51l, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372