HomeMy WebLinkAboutBuilding Permit #11-0907 �� PR IO
���� 1� CITY OF PRIOR LAKE BUILDING PERIVIIT
�� � TEMPpRARy CERTIFICATE OF ZONING COMPLIANCE Date Rec'd
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����. AND UTILITY CONNECTION PERMIZ' � �� ��
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lease or ' t and si at bottom) Z " �'" �'�' PE�MIT NO .
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ADDRESS
/� � ` v / 1� CI.H �� - � Jr- ZOIVING (office use)
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LEGAL DESCRIPTION (oti'ice use only)
LOT BLOCK ADDITION
�WNER PID
(Name) pc.�.'� d- ��i1. �Z•.t�► � ;'� (1
(Address) � (1'hone) �/�o�- �Z[pj —�$ ��
d�l, �r'v�c (-e..
BIJII..DER
(Company Name)_�,l�, �
(Contact Name) t I� ' � C' �,• • � , � �.c . (Phone) � !�_ c �a �1- 7
(Address) � C (Phone) � _ � � �
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TYPE OF WORK ❑ New Construction �Deck �Porch �-Roo
DAddition �Atteration QUtiiity Connection � �Re-SidwS [�Lower Leve1 Finish ❑ Fireplaoe
CODE: �I-RC. []I.B.C.
�'Ype of Constrnchon: I II III rv y ,,, B ❑ Misc:
�� ,��, �� �nP� A B E 1 H 3 M R S U PROJECT COST/VAI,UE S
5 ��
I b�bY �tify that I have farnished inf�� on this ��� �
above- pmpercy and that all ��tiOn whirh is bo the best of my lmowledge true and aom�. I aLso
� -� � •�• � �� �ore I�'arm to all ea�stin8 sfate and loca! laws and wa71 prooecd m ° �y that I am the owner oa� auti�orized agent for the
a
bY �ee tl�at the citY official or a designee may enter upon ���rdancr with submitted Plans- I am aware that the buildiag
X P�P�tY � P�1'otm needed insPections.
Sl� -��o� 3 � 3�� y-r 3- l/
Contrnctor's Ia�nse No.
Permit Valuation Date
Permit Fee P�'k Support Fee # $
$ SAC
P1an Check Fee $ ## �
State Surcharge Water Meter Size 5/8"; 1"; �
s Pressure Reducer
Penalry $ $
Plumbin P �'�'/Water Connection Fee # $
g eimit Fee s
Mechanical permit Fee Wa�' Tower Fee # $
� Builder's Deposit
Sewer & Water Pernut Fee g $
Gas F' Other $
ireplace Permit Fee $
TOTAL DUE $
�his Application Becomes Yo�a Buil . / 7- �
�n8 Permit Whe° `�ppr°ved Paid
Date R i t No. j
Buildi Off��ai �
TLis is to ce�tify that the request m the above applicam a�
When si�ed bY the Cicy Planner �t� a p�P�9 C�ctificate of Ymg dauments is m acoo�dance wilh the City ZoninS pi and ma
issued. ZO°�S °omPlianee and allows oon�uction m mmmence. Before �ment
Y P�ed as requested, 'I��
°�P��S� a Certificate of OavP��S must be
��oS �recfor
Dete
24 hoar notice for ail inspections 952 447-9 S �� cO �'d�' if e°y
4646 Dakota Street S.E., Prior Lake,lltinn t89553727�245