HomeMy WebLinkAboutBuilding Permit 10.032 ot_YRlo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Reed
tij TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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��`' i AND UTILITY CONNECTION PERMIT 6C.0 �
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ADDRESS I. i'TTLE 5ANTS EAkL'? C 11 1 LD1{00 C.
t IylgO e0MtutEgte AVE. NE PRto2 LAKE MN J63l2 Se, l (\-11-6 r---_ �� — - - - - -- — TR 1S ADO it 3
LEGAL DESCRIPTION (office use only)
I LOT BLOCK ADDITION P11 (l V rvt k ) `0- Z32. 't
Na — - -- _ Phone
OWNER
(Name} (Phone) - --
L (Address) �_. _ _I
BUILDER. I
(Com.pany Name) b 1 N KL la1K. _n4 L. (Phone) { C 162 ,
- q 1 1 / Z -- 1%t t o --
(Contact Name) A ON 6•A -N Err _ _ (Phone) _ R52 $ '- e '
(Address) _ kyo / J i l ?1 6LV b ST Louts Pg. vtal � 5 4 4 26 - _. . .__ .--- ___._ -_ -__
TYPE OF WORK- ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish F Fircpiacc
❑Addition ❑Alteration ❑Utility Connection qq (gtlyC1 N(?)
CODE: DI.R.C. LI.B.C. �IMisc: t;IIN kIec- �N& - 2E.__ SqSTE1 -4 __.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F I I I MR S U PROJECT COST /VALUE —_ —_
Division: 1 2 3 4 5 (excluding land)
• rehy certify that 1 h e furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the i
above- mentioned p • '- . t at a <•nstruction will confor all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can to .. e thin. amit for,iust c. • se. F rthermort ' y agree that the city official or a designee may enter upon the property to perform needed inspections. I
'�� T5 00 20 s /?
ignature Contractor's License No. et =' J
{ - ermit Valuation Park Support Fee #— $ _ - -- I
. --- - Permit Fee $ SAC # $ -
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
S Pressure Reducer $ i
state Surcharge $
Penalty $ Sewer/ Water Connection Fee # $ — —
„ _ _ • — W ater Tower Fee —1t — $ —... __._ . _ - _,
Plumbing Permit Fee $ i
— __ _______ _.— ._
Ivlc•cllal.ical Permit Fee $ Builder's Deposit -- __�--- � - $ _._____
Sewer & Water Permit Fee $ Other - -- $
Gas Fireplace Permit Fee $ TOTAL DUE / $ 41•? _--. —_._
fhis 1p 'i do c.comes YourMeldingPermit W,en 3proved l Paid /. �''eei �(/SZ1
Date 4.3, / ,'yt' _._._..._._
lf --/. ..4 4 Prila I 0
L 30 &nap-Ifie • : to .I I'
_.........
1 Ibis 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 doc ,runt
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 Os
issued
Special Conditions, tram
Planning 13ireuo[ Date Pe'
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372