HomeMy WebLinkAboutBuilding 07-0783
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8'(~.o7
( Please
ADDRESS
n at bottom)
1lyd '1v'
I White
Pink
Yel1cm'
File
City
Applicant
I PERMIT NO. 07. 07e3
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT ~OCK
ADDITION
PID
~'::e~RD~n ty1OOyU'(;
(Address) 14 "3 ~\Lf., Blyd -TtJ,
i BUILDER ,f'plll . ~~~
I (Company Name) V LILA, V Ul I .
i (Contact Name) ~:::UQQJ:- '{f \J' Blvd
I (Address) ~ma
(Phone(95Z )YLlS --3 rTl
(Phone)
(Phone)
(0J5Z) <4 }'5-l2Z7
TYPE OF WORK 0 New Construction ODeck
OAdditlOn OAlteration
ORe-Siding OLower Level Fimsh 0 FIreplace
CODE: DI.R.C. DI.B.c.
Type of Constmction: I
Occupancy Group: A B E
Division:
V
M
4
A
R
5
II III IV
F H I
I 2 3
o Mise
~\rdoWJ
PROJECT COST IV ALUE $ ZLP) 000
(excluding land)
B
S
U
I hereby certify that I have furnished mformatlon on this application which IS to the best of my knowledge true and correct I also certify that I am the owner llr authOrized agent for the
above-mentmned property and Ihat 0.11 ",lOstruclion Will conf(,rm to all eXlstmg state and local laws and Will proceed in accordance with submllled plans I am aware that the bluldmg
~rlCial ~O&.sst ca Ise Furthermore. hereby agree that the CIty official or a deSignee, (mon the propeny to perf'Jrm ~'~ rT~W--
SIgnature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Blllldlllg UfIicial
Date
Park Support Fee
$
#
SAC #
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
This IS to certify that the request 1Il the above application and accompanYlIlg documents is in accordance WIth the City Zoning Ordinance and may procl'ed as requested ThiS document
when signed by till' City PlJnnef ClJl1stltutes a temporalY CertIficate Llf Zomng compltance and allows construcllon to commence. Before occupancy, a Ccrtlticatl' l)f Occupancy must be
isslled
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9!l50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372