HomeMy WebLinkAboutBuilding Permit 08-0528 oF PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �. � Ub
�' ' AND UTILITY CONNECTION PERMIT
V X
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M��'NESO�P � Wh��e File pERMIT NO. ^
2 Pmk City � _ /�,��
3 Yellow Apphcant V
Ple rint and si at bottom)
` } . ` m ���� �� J f� � .,f ZOIVING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
- m�����,/ �.��o� qs�-� ���a
(Address) n �� r�Q� �
BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing Re-Siding ❑Lower Level Finish ❑ Fireptace
❑Addidon ❑Alteration ❑Utility Connecnon
CODE: ❑I.R.C. ❑I .B.c. �M�s�. � �- � X a-` 6'✓/�l/JO li1�f
Type of Construction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fiirnished mformahon on th�s appLcahon which is to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent for the
above-men4oned properry and that all constniction will conform to all exzsung state and local taws and will proceed m accordance wrth submitted plans I am aware that the buAdmg
official can revoke this use Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspecuons
X 6- y-��
Contractor's License N
Permit Valuation Park Support Fe # �
Permit Fee $ SAC � � $
Plan Check Fee $ Wate M t Siz /8"; 1"; � O $
State Surcharge $ Pre e ed er $
Penalty $ Se / ater C n�n ion Fee # $
Plumbing Permit Fee $ Wa r Tower # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLTE $ O
This A lication Becomes Your Buildin Perntit When A roved `
PP g PP Paid Re i t No. ,�j (yG
Date u B
Bwldm� Uttiaal Date
This u to cerufy that the requcst m the above appl�cation and accompanymg documents �s m accordance with the Gty Zomng Ordmance and may proceed as requcsted Th�s document
when signed by the Gry Planner consututes a temporary Ce�tificate of Zonmg comphance and allows construcnon to commence Before occupancy, a Ccruficate of Qccupancy must be
issued
Planning Director Date Special Condifions, if any
24 hour notice for ali inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372