HomeMy WebLinkAboutBLDG 08-0295
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NOC8' ~ Z er 5
SbS
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
J e: re
Sb5tJ
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration OUtihty ConnectIon
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
Y>t:!(l
x
formatIOn on this applic<ltlU ich is to the best of my knowledge true and correct. I also certify that I am the owner or ilutlwnzed agent for the
o all cXlstmg state and local laws and will proceed in accordance with submItted plans 1 am .!ware that e btllldmg
ereby agree that the City official or a deSignee may enter upon the propel1y to pert()rm needed mspe~'8:
Contractor's License No.
Plan Check Fee
2~&cO- -
$ l~.l~
$
$ (,2.r"""
$
$
$
I $
$
Park Support Fee
SAC
#
$
$
$
$
# $
# $
$
$
$ (b--
I ~~ceiPt NOM;' 77
Permit Fee
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Appli a .
Building Permit
~~:. ~x ~ (al
ThiS IS to certify that the request in the above application and accompanYll1g documents IS in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
\vhcn signed by the City Planner COllstItutes a temporary Certificate uf Zomng compl1allcl' and allows construction to commence Before occupancy, a Certificate Df Occupancy mllst be
Issued
Planning Director
Special Conditions, if any
Dale
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372