HomeMy WebLinkAboutBuilding Permit 08-0743
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
] \Vhite
Pink
3 Yellm\
File
Cih
Applicant
(- 1 4-3
I PERMIT NO.
\ Y l1qg
Cb~ (f; (). f-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) 5
S7-R0lr( -5838
{y IL~525-SWO
TYPE OF WORK D New Construction DDeck
DAddition DAlteration
DRe~Siding DLower Level Finish D Fireplace
CODE: DI.R.c. DJ.B.C.
Type of Construction:
Occupancy Group: A B
Division:
D Mise:
I
E
IT
F
1
ill IV V A
H J M R
2 3 4 5
B
S U
PROJECTCOST/VALUE $
(excluding land)
q 5fJo . c9-U
[ hereby certifY that [ have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that [ am the owner or authorized agent for the
above-mentioned perty and 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
offinal can rev e this pe1mlt for Just e. F thermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1'/\ -'ZO(~Zq557 q/J%8
Contractor's License No. Gate
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
Building Official
Date
$
$
$
$
$
$
$
$
$
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 all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E.. Prior Lake, Minnesota 55372