HomeMy WebLinkAboutBuilding Permit 11.872 Fire Sprinkler YRj
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE f
AND UTILITY CONNECTION PERMIT �� Z -
Sj '�'N E SU
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1. White File
2. Pink City PERMIT NO. / / g ' 7 Z
3. Yellow Applicant t
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
('SSO 6 6UDlly 57 1 (Pir HO)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
,era►- - -- -- --
BUILDER
(Company Name) SKYLINE FIRE PROTECTION, INC. (Phone) 763.425.4441
(Contact Name) JASON MACK (Phone) 763.425.4441 EXT #4
(Address) 10900 73RD AVE NORTH, SUITE #108, MAPLE GROVE, MN 55369
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch DRe-Roofing DRe-Siding DLower Level Finish ❑ Fireplace
DAddition NAlteration DUtility Connection
CODE: ❑I.R.C. ❑LB.C. ►1 Misc: 2007 MN STATE BUILDING CODE
Type of Construction: I II® III IV V A C)
Occupancy Group: A B E F HI (a R S U PROJECT COST /VALUE $ 2,840.00
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished 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
above - mentioned property 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
official can re ke this permit fo u ause. urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 147,1 1
This Application : o s o ur ding Permit When Approved Paid ¢1� Rec t No. '3 ?i '�
Date 9. 2 _ / r By
Building Officio , ate
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. 145(4 i 042-44
Planning Director Date Special Conditions, it any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372