HomeMy WebLinkAboutBuilding Permit #11-1005 � PRID
°/� '��� CITY OF PRIOR LAKE BITILDING PERMIT, Date Rec'd
��� �` �'; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"`� --�'�-----�- "" AND UTILITY CONNECTION PERMIT g- Z8 -�/
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z: � c�Ty PERMIT NO. /�)
3. Yellow Applicant // / O v�
ICSSC O[ � dII� Sl dY IM[[OID
ADDRESS ZONING �rn�ce „�>
3o�s ,G�� E ��� �,�, cau.-�
LEGAL DESCRIPTION (off'ice use only)
LOT BLOCK ADDITION pID
OWNER ,
(Name) ��a�',� s ��-crv �u! � (Phone)
(Address) 30� 5 �t �C t��'Gn_ (`a,�u— f � �
BUII,DER
(Company Name) �� f f rc�.t' (Phone) lo S� -�3� � h�a►�(
(Contact Name) �da� �u /tz� / ,�a�.,E���. , (Phone)
(Address) o?.� 70 �t/ea..� �ve . �./ �S�%//t.t/a�c,� i1,�,�./ v "sa &.?
TYPE O�' WORK ❑ New Construction ODeck �Porch �Re-Roofing ORe-Siding QLower Level Finish
Q Fireplace
DAddition (�Alteration �Utility Connection
CODE: DI.R.C. �I.B.C. ❑ Misc:
Type of Constnudon: I II III N V A B
Occupancy Group: A B E F H I M R S U PBOJECT COS�'/VALUE $
Division: 1 2 3 4 S (excluding land)
I hereby cerdfy that I have fiunished information on this appliartion which is to the best of my knowledge irue and correM. I also certify that I am the owner or auUtorized agent for the
above-mentioned r rty;,�pd.Wnr�ell construction will coaform ro all existing state and local laws and will proceed in ac�rdance with submitted plans. I am awaze that the building
official e this pemrit for just cause. Furthermore, I hereby agree that the city official or a desi�ee may enter upon the property to perForm needed inspedions.
x - i �� �J� / �'0� J -,�,7 - //
Signa e 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 # $
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Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas F'ueplace Permit Fee $ TOTAL DUE $ �?�
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This Application Becomes Your Building Permit R'hen Approved Paid Rece' No. ¢!
Date B
Buildin Official Date
This is to cectify that the request in the above applicaflon and accompanying documenis is in acrordance with the City Zoning Ordinance and may proceed as requested. T'his document
when signed by the City Planner rnnstitutes a temporary Certificate of Zoning mmpliance and allows mnstruction to commence. Before occupancy, a Certificate of Oacupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hear aoliee for aA iaspeetieas (952) 447-9850, faa (952) 447-0245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372