HomeMy WebLinkAboutSiding Permit 08-0644
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
Date Rec' d
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. C!s-~~#
ZONING (office use)
,.-
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
ame)
...
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cz:
PID
(Phone))'S Z yY6
/ ~?_?
(Contact Name)
(Address)
o 4- ~!n -<- <""'
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(Phone) 95 z- 83/ -- '3 >/5'
(Phone) 6/'2 -77-"'7 '79 Z<7
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIOn
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
Re-Siding OLower Level Finish 0 Fireplace
"
o Mise.
A
R
5
B
S V
PROJECT COST/VALVE
(excluding land)
$
I hereby certifY that I have ti.lrnIshed mfmmatlOn on this application which IS to the best of my knowledge true and COlTect. I also certIfY that I am the owner m authorIzed agent tllr the
ove-mentl e roperty a 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 buildmg
oftie' Ice this l' Zt se thermore. I hereby agree that the City official or a designee may enter upon the propelty to perform needed mspectlons
'/, >-i=5C20387 ~95 n-Z~,-cY~
~- Contractor's License No. Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
(_u~
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $ - /
TOTAL DUE $ 7[;-
1,~~GD
I ~;ceiPt NOi:f;~ s~ 7
Paid
Date
ThIS IS to certifY that the request in the above applicatlon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested, TIllS document
when signed by the City Planner constltutes a temporary Certificate of Zonmg compliance and allows constructlon to commence. Before occupancy, a Certltirate 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 Prior Lake, MN 55372