HomeMy WebLinkAboutBuilding Permit 08-0027
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 White
Pink
Yello"....
I'
[ PERMIT NO. 0({ 7-1
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID
(Phone)
?50..~ ilS?
er
~e
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditton OAlteration o Utility ConnectIOn
e-Siding OLower Level FinIsh 0 Fireplace
CODE: ~C. OLB.C. o Mise.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby (('nity that I have hlrnishcd mformation on this application which is to the best of my knowledge true and corrcct I also certify that I am the owner or authOrized agent for the
I J.bovc-rnclltwncd property and that all constructIOn will conform to all existIng state and local laws and will proceed in accordance with submitted p IlS. I am aware that the buildIng
.xl :fICl~~:::~_11 JU'D:{ ~~~gl cc that the City offICial o~a deSIgnee may enter upon the plOpelty to pel to! m nee ed InSpcctlon~
--r---- ~ture / Contractor's LiCense No
Permit Valuation
2-500. -
S-
Permit Fee
$
$
$
$
$
$
I $
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
-
, ''Z,. ~
Sewer & Water Permit Fee
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
I
Other $
TOTAL DUE $ {~~-
~~:e ;1~~/08
-s=5 I I
I Recei(4r I t I
By N
ThiS is to certify that the request lI1 tht' above application and accompanymg documents is ll1 accordance with the City Zoning Ordinance and may proceed as requcsted ThiS dllcument
when signed by the City Planner constItutes a tempurary Certificate of Zonlllg compliance and allows construction to commence Befllrl' occupancy, a Certificate nf Occupancy must be
i....sucd
Planning Director
Speeial Conditions, if any
Date
2-t hOllr notice for all inspections (952) 447-9R50. fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372