HomeMy WebLinkAboutBuilding Permit 08-0887
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0.2/. ~8
I ~~;~;;;~::
I White
Pink
Yellow
I PERMIT NO.rJB,0887I
File
City
Applicant
ZONING (office use)
2rJ- - 1J;z;r J./i-k J JJ1tV
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) r!./).r"'L (2/tnz.
(Address)
(Address)
(Phone) S?5 z - 2/pJ -1d9<9- 2-
(Phone) ~~3 - 54/-tCJ.~Ot1
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch $Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility ConnectIOn
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
2 3 4
A
R
5
o Mise.
B
S U
PROJECT COST IV ALUE
(exduding land)
$
I hereby ceniIY that I have hlrnlshed mformation on this applicatIon which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
I above-mentioned property and that all construction w1l1 conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
~al can revoke thIs permit for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspectlons.
X - . 41-2~1.?5?/oIp /t? - 2/-0g
Contractor's License No, Date
Permit Valuation ./5 1~(q/5. ~
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 Pennit When Approved
l3uildnH! Oftlcial
Date
1
\
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 $
ThIS 1S to certify that the request in the abuve application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested Tlus document
when signed by the City Planner Cllnstltutes a temporary Certificate of Zomng compliance and allllws construction to commence. Before llccupancy, a Certlticate llf 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