HomeMy WebLinkAboutBuilding 07-0655
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 z,S.()7
File
City
Aprlicant
&55
I PERMIT NO.o7-
White
Pink
Yellow
C i\~/~,
f3(.'tH~( V\Q1
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
G) #~
C -4-} M Ii ~ )'0 V\
(Phone)
(I rc.lfL.
(Address)
i BUILDER 1-1.
I (Company Name)~ 01V\ E.
I (Contact Name) ') j' YY'\
I (Address) e:; '"3 -=s ()
t- i p,.. ~v Ctr'lt\ 1.
~chlA-G''L1
'5
(Phone) C( V7 -')/? V
(Phomi\: U I i) -<)'17 - 7 q S'-)
I.J ( I () ( ~ 4/Crr
,)i
yY'\. YV\
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Con
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
A
R
5
B
S U
I
E
II
F
I
III
H
2
IV V
I M
3 4
PROJECT COST IV ALUE
(excluding land)
$
Y60G
I hereby certity that I have hlrmshed IOtilrmatlon on this applicatIOn which IS to the best of my knowledge true and mITee!. I also cerlily that I am the owner or authollzed agent liJr the
JbovC-rncntlOl1cd property Jnd that ,lll construction will conform to allexis g state and local laws and will proceed in accordance with submitted plans. I am dwarc that the buildmg
official c YO T > permit for Jl t CJlIse Furthermore, 1 er 'by agree a the City official or a designee may enter upon the propetty to perform needed Inspectlons
,
7 /) i
Contractor's License No.
Park Support Fee
SAC
#
#
Plan Check Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Water Meter Size 5/8"; )",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Sewer/Water Connection Fee
#
Water Tower Fee
#
Mechal11cal Permit Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
lluildllll! UI'flclal
Datc
Date
'67
$
$
$
$
$
$
$
ThiS IS to certify that the request in the above applIcation and accompanYlOg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constltutes a temporluy Ccrtificate uf Zonmg compliance and allows construction to commence. Bcfllre occupancy, a Certlticate Df Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372