HomeMy WebLinkAboutBuilding Permit 08-0164
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4.~.08
Date Rec'd
~: =e ~:~y I PERMIT NO. 08. 0//4-1
3. Yellow Applicant . fP ,
ADDRESS ZONING (office use)
1<1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
25. 339. 014-.0
OWNER
(Name)
(Address)
((P~Z~7.- ~'Yt?
'L
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch aiRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conne~n
CODE: Of.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A
Division:
I
E
V A
M R
4 5
o Misc:
B
S U
II
F
1
III IV
H f
2 3
B
PROJECT COST IV AWE $
(excluding land)
r shed Information on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorized agent for the
a d that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
t for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x
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
Building Official
Date
Contractor's License No.
flY)?ooF
Date
Park Support Fee #
SAC #
Water Meter Size 5/8"; I";
Pressure Reducer
$
$
$
$
$
$
$
$
$
Sewer IWater Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
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 City Planner constitutes a temporary 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 aU inspections (952) 447-9850, fax (952) 447-4245