HomeMy WebLinkAboutBuilding 07-0132
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3~/1r07
File
City
Applicant
I PERMIT NO. 67, 0 I~ ~ I
I White
Pink
'(ell ow
n at bottom)
ADDRESS
~o7
J:.c S'\ Rt. ~
ST
SL0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID J.~ .;19~ 0 '--2... .-0
ZONING (office use)
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) P R, 0 U:::.~
(Contact Name) ~6 t+J"\J
(Address) '3 '- '/ 6
}I ~c;O BI(~;e)
(Phone)
1<00 fS'/Y'4-
Me;, 0 .--I~
rV t::""'r <Sa ,.
1)1:, J ..18'0 .c~ I 0
L.le;.."" ~&> if ~?7'1 y
..."J
TYPE OF WORK 0 New Construction ODeck OPorch
OAddioon OAlteration OUtility Conn
ORe-Siding
e-Roofing
I n
OLower Level finish
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$ ,
o Fireplace
I herehy certify that I have tllrnishcd mformatlOn on this applicatIOn which is to the bcst of my knowledgc truc and COlTect. I also ceJ"tlfy that I am the owner OJ" authol"!zed agent for the
abllvc-mentlllned prllpcrt and that all Cllnstructlon Will wnfarm to all cXlstmg state and local laws and Will proceed 10 accordance with submitted plans I am aware that the buildmg
official CJn revoke rmlt for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed InSpectIOns
x
.:20;.1 fa ,?e;, s 0
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; !",
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
llurldll1g Unlclal
Date
s~/?-o~
Date
$
$
$
$
$
$
$
$
ThIS 1S to certify that the J"equest In the above applicJllon and accompanYll1g documents is In accordance with the City Zoning Ordinance and may proceed as requested ThlS document
when signed by the City Planner constItutes a temporaJY Certificate uf ZonIng compliance and allows construction to commence. Bcfure occupancy, a Certificate of Occupancy must he
issucd
Planning Director
Dale
24 hOllr notice for all inspeetions (952) 447.985n. fax (952) 447-.U45
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any