HomeMy WebLinkAboutBuilding 07-0991
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0/ (2/~ 7
1. White
2. Pink
3. Yellow
File
City
Applicant
PERMIT NO. ()? ' tJ9 9/
(OU() ftl2
P4TH /vvV
ZONING (office use)
LEGAL DESCRIPTION (office use only)
.-
LOJ07 BLOCK ':J ADDITION
7hG:-
W, L/~S' AfJIZ 7H
PID
OWNER
(Name)
(Address)
1)/2G
a-11 r
O,Mij.q)/
(OrA a fZ Pt~ /V(1!
(Phone)
qJ ~ -17T - 9"l;lft.(
BUILDER
(Company Name)
(Contact Name)
(Address)
~tt(~ IH 4bov~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: ~.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
ORe-Siding OLower Level Finish 0 Fireplace
'&""~J ~fi~
PROJECT COSTlV ALUE $
(excluding land)
IT ill IV
H I
1, 2 3
)jMisc:
V
M
4
A
R
5
B
S U
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am t e owner or authorized agent for the
above-mentioned property an t all construction will conform to all existing state and local laws and will proceed in accordance with submitted 1ans. I am aWare that the building
official can revoke this permi st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform n ded inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
Park Support Fee
SAC
#
#
-
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
, 2..r
Water Tower Fee
R...
I.(Or06
Builder's Deposit
Other
TOTAL DUE
-00
This Application Becomes Your Building Pennit When Approved
~.d ~ /OIr2/Q7
Building Official ' Date '
I ~~t~ ~:;i:;
I ~;'ciP~~I/~1
This is to certify 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
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any
PRIOR L.AKE DEPARTMENT OF
" BUilDING AND INSPECTION
SITE ADDRESS
INSPECTION
RECOR
]
FOR ALL INSPECTIONS (952) 447-9850
;.: l ~ . .