HomeMy WebLinkAboutBuilding 07-0141
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. Z!. J 7
I White
Pink
Yellow'
File
City
Applicant
I PERMIT NO. 07.0/4-11
157~7
.-:) /U..-~~cI- tPf-U JL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER C
(Name) liS 5 ,t1- Ii.{ 0 en.....
7< 7!2...)1!1 C Y
(Phone) ? fJd - 1') 0 -({ ad 1-
(Address)
BUILDER ~- / L r' c-YJ
(Company Name) .:::. 1 fi- H)" fi U ~ 2:> (; ,eVe L (::-
(Contact Name) '5 /P.A! /c:::P 2.y-? p-;..I r ,r-:L(c...
(Address) J J-? 70 L/;'-7 6L -,,' T / 71< ( ,c.v
(Phone) 9 ~ ~ -).... 7 () - t..; D <(; g
(Phone) 'l S-')... - 21 v - (fQ ~ 7
f.l.' 'S~y~(t
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: OLR.C. OLB.C. o Mise.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
'd lnforma on on this applicatIOn which IS to the best of my knowledge true and COtTect. I also certify that I am the owner or authOrized agent for the
at aLl c'truction wIll Cllnform to all ex Ing state and local laws and will proceed In accordance with submitted plans I am aware that the buildmg
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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 $ I
This Application Becomes Your Building Permit When Approved
Huildlll!! Unicial
Date
Contractor's License No, 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 $
572-/
ThIS IS to certify that the request 111 the above applicatIon and accompanY1l1g documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner CUl1stJtutes a temporal)' Certificate of Zon1l1g compliance and allllws constructIOn to commence Before llccupancy, a Certificate of Occupancy mllst be
lssul'd
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake. MN 55372