HomeMy WebLinkAboutBuilding 07-0689
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
52. c1.3
#CJi/A/ry 51.
Date Rec' d
1 .5 (). 0 7
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07. o&,f}r;1
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER .
(Company Name) R~iJ G,Ut\S+TVI...\.~<.J"
(Contact Name) Gtc.~ -rro~VJl../
(Address) 93 /1.. ~"c:..-"c:... L-J /Y'l4~. Grwc::..
f7'}AJ
(Phone) G, I 2.. ~ J. ~ ' .$"'(, Co. t
(Phone)
~S-J6~'
TYPE OF WORK 0 New Construction ODeck OPorch me-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration o Utility Conn~~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
o Mise.
B
S
PROJECT COST /V ALUE
(excluding land)
$
U
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
I Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Ufficlal
Datc
Contractor's License No
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 $
Tim IS lu certify th"t the request m the "buve applIcation "nd "ccomp"nymg documents IS m "ccordance with Ihe City Zoning Ordinance and may pmcced as requesled Tim documcnl
whcn signed by the City Planner COl1StlLltcS a tempor"IY Certltlc"te of Zonmg complIancc "nd allows constructIOn to commence Before occup"ncy, a Certificate of Occup"ncy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372