HomeMy WebLinkAboutBuilding Permit 10.0367 •
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f PR/0+ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t. TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
U �' �Z' ��
mi
414,NE sO1; I. White File
2. Pink City I PERMIT NO. /0 361 I
3 Yellow Applicant
crint and sign at bottom)
ADDRESS ZONING(office use)
t_S-16. C-L€ e> 1/4-
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
(Name) k"),11-1/ C ?. l'i4
Phone)
(Address)
BUILDER
smpany `ame &S Cur ,7v".6-5 (rae_ (Phone 6(2— 2U- 22 i f,'
ontact Na p.- TvS77r•-•1 'CS
(Phone)
.ar: ess) (? NJ-6-9,cte-✓v !_✓
I
oottJQt.e 11-vvS'''.-52
TYPE OF WORK ❑New Constructio ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish El Fireplace
['Addition Iteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $
Division: 1 ?, 3 4 5 (excluding land)
I hereby certify that e furnishe._, trmation on this ap.ication which is to the best of my knowledge trite and correct. I also certify that I am the owner or authorized agent for the
above-mention a ,roperty ani nstruction orm to all ex.tin state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official ca, •voke this p or us y1��..1s%�.hereb a: - that the c•_official or a designee may enter upon the property to perform needed inspections.
-Aid,, `� '�%j y 2°1414 Glc 5_i2 - (p
A Contractor's License No.
mr, _.,.y Date
Permit Valuatio % 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 $ :7( • O 0
This Applicat t r t omes Your Building Permit When Approved Paid
7 Re ipt No. U�Z to
5-,i2,/o
Date .S, /2_,to
i ding Official Date
This is to,•rtify 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
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
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