HomeMy WebLinkAboutBuilding Permit 08-0682
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7. 2- _ 0 €
I White
Pink
Yellow
File
City
Applicant
.6t;f>zf
I PERMIT NO. 0 B
~R
N6~
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
U>VI.1(J <i Yl 'f
(Phone)
(Phone)
{;75/ ?01 :>1>>
651 775 ((~6
BUILDER L
(Company Name) ];. v.Q/~{e.ef"\
"
(Contact Name) ljq SOM
(Address) 6f~ IZ'i ~ c>rt pi
~V1
I
TYPE OF WORK 0 New Construction ODeck
OAddition OAlteration
ORe-Siding OLower Level Finish 0 Fireplace
lcation which is to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
on form to all exisl1ng state and local laws and will procecd In accordance with submitted plans I a awar that the building
, I hereby agree that the Clry official or a deSignee may enter upon the propeny to perform needed I~S e mS'{)f
Contractor's License No. Date
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
A
R
5
B
S U
V
M
4
III
H
2
II
F
I
I
E
PROJECT COST IV ALUE
(exduding land)
x
Park Support Fee
SAC
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
Buildlnl! Otlicial
Date
~
#
#
#
#
$
L(~
$
$
$
$
$
$
$
$
$
ThIS IS to certify that the request in the above applical10n and accompanymg doeumcnts IS In accordancc with thc City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner conSl1tutes a temporary Certificate of Zonmg comphance and allows constructIon to commenee. Before occupaney, a Certificate of Occupancy must be
issucd
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372