HomeMy WebLinkAboutBuilding 08-0850
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10. 13. OJ/
soy?
~f 1-1 r.. ~ I06(
M. A)t;J
] White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08 . 0 bo()
f~/Q'- Ul:.f fYI,v 55"371-1
~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER,
(Name) ~fJ"\f.1
SDl{
tJ...)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Pt.-lot.- Lp
(Phone) --W1-- s~7 -Sc'1~
'MfV ))S 1""L
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck
DAddi:ion DAlteration
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III
H
2
IV
I
3
V
M
4
A
R
5
I
E
II
F
I
e-Siding DLower Level Fimsh 0 Fireplace
o Misc.
B
S U
PROJECT COST /V ALUE
(excluding land)
$
I hereby certify that I have furnished mformatlOn on this application which IS to the best of my knowledge true and COlTecl. I also certIfy that I am the owner or authonzed agent fllr the
above.menl1oned property and tI at all Cllnstrucl10n will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
otlicial can revoke this r 1l st cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform necdcd mspcctlons
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Ofticial
Date
//-/3 ~ () 3'
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThiS IS to certify that the requcst in th.: above applicatIon and accompanymg documents is in accordance WIth the City Zoning Ordinance and may procccd as requested ThiS documcnt
when signed by the City Planner constltutcs a temporary Certificatc of Zonmg compllancc and allows constructIon to commence. Before occupancy, a Ccrnticatc of Occupancy must be
issued
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372