HomeMy WebLinkAboutBuilding 08-0571
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
I~~"'.j~srm Ir I
I. Whk. Fil.
2. PiftIc City
) Yellow Applic.onl
N6
I PERMIT NO. 09,057/1
, I ZONlNG'__J I
LEGAL DESCRIPnON (office use only)
LOT
BLOCK
ADDITION
PID
fhlWlkf2. -' (Phone) q5R1- t/'I5-q5~~ I
Ig,=:l~
(Address)
Bun.DER.
(Company Name)
(Contact Name)
(Address) 5~l/1
(phone) UG/'~:J;9..y 1,.)()
(phone)
.# 6-Stl 8' .;J..
TYPE OF WORK D.New Co~on DDecIc Dporch
DAddition rAJteration DUtility Co
. CODE: OI.R.C. OI.B.C.
Type of CODStruction: I n m IV V A
Ocaapancy Group: A B E F HIM R
Division: 1 2 3 4 S
.Roofing DRe-Siding OLower Level Finish
o Mille.
o Fireplace
B
S U
PROJECT COST IV ALUE
(excluding land)
s ;)/ QQ8. eo
I hereby entifY that I ha~ furnished information on this application which is to the best of my knowledge true and correct. I also c:atity that I am the IIWI\~'I" or aulhonzcd apt for the
above-menl1oned JlI"OPettY and that aU construction will COlIform to aU exislini Stale and local laws and will proceed in accordance with submitted plans. I am aWlfe that the buildinl
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Signature Contractor's License No. I Date
Permit Valuation Parle Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty S SewerlWater Connection Fee # $
Plumbing Permit Fee S Water Tower Fee # $
Mechanical Permit Fee S Builder's Deposit S
Sewer & Water Pennit Fee S Other S
Gas Fireplace Permit Fee S TOTAL DUE $
i 1
This Application Becomes Your Buildq Permit When Apprond Paid ~f/) - J I Recc &6t No. Sl. r'Z..- .r
Date :;;- c/ vV I Bv/
(,. , 0
BuildinR Official Date
TIus is to certifY that tm, request in the above application and accompanyinl documenls is in accordance with the City Zoninl Ordinan~ alltr'1nay proceed as n:qU~'Skd. This document
when silncd by the City Planner constitutes a temporary Certificate of Zoninl complian~ and aUows construction to commence!. Befon: O<<IIpancy, a C~TlirJCate of Occupancy must be
wued
Pluminll Din:c:toi Date Special CCllIditiOllJ, if any
24 bour notice for all Inspections (9!l2) 447.98!iO. fax (9!l2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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