HomeMy WebLinkAboutBuilding 07-0865
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Yellow
1//0/07
I PERMIT NO. 07-0C;Sb~ I
File
City
Applicant
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(N ame)
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(Address)
L(OSS
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I
i BUILDER L.!f
I (Company NameLl)..Lf~~ (
i (Contact Name) f'/IlkR
I (Address)~S 0 vJ
ChLJ(L~
ltA ke +r utt I
(Phone)
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(Phone)
(Phone)
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IV ?537
TYPE OF WORK D New Construction DDeck DPorch ~e-Roofing
OAdditlOn OAlteration OUtility ConnectIOn
CODE:6.R.C. ~B.C.
Type of ~stmction: ~ I
Occupancy Group: \.Y B E
Division:
II
F
1
III IV G
H d2 M
2 3 4
AtB"l
R "-?' U
5
ORe-Siding OLower Level Finish
o Fireplace
o Mise.
PROJECT COST IV ALUE $
(excluding land)
-l-;I/ \jJU ,()O
I hereby certity that I have hlrmshed mfmmatlon on this applIcation which IS to the best of my knowledge troe and correct. I also certify that I am the owner m authorized agent tm the
above-mentIoned property and that alleonstrllctlon Will conttllm to all eXlsl1ng state and local laws and will proceed in accmdance with submitted plans. I am aware that the buildmg
offiCial can revoke IllS permit fm Just cause Furt 'r ore, I hereby agree that the City official m a deSignee may enter upon the propelty to pertllIm needed mspecl10ns
JOI ~ ~/'15'
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
This Application Becomes Your Building Pennit When Approved
~~
i llurldltlg Orticial
?/ID /0 7
, !late'
Contractor's License No.
'7110 /0 7
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ ...,
/c;, . () 0
I P"id~f' .00
Date tJ I 7
{o
i ~~ce't.., S%e-'l
ThiS IS to certify that the request 10 the abuvl' applicatlOl1 and accompanYlIlg documents is In accordance WIth the City Zoning Ordinance and may proceed as requested ThiS document
when Signed by the CIty Planner c,mstltlltes a temporary Certificate of Zonll1g comphance and all<lws construcl1on to commence Befme occupancy, a Certificate of Occupancy must be
lSSllCd
Planning Director
Special Conditions, if any
Date
24 hOUf notice fOf all inspections (952) ....7-9850, fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372