HomeMy WebLinkAboutBuilding 07-0895
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CITV 0)) PlUOIl LAUR nUILnINl; ~~rwIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'1. 11. 07
ZiJLf~
Date Rec' d
White File [ PERMIT NO
Pink City . 07, 080.c-
Yellow Applicant . I ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) S~
(Address) 1.- 1.:)0 S
rs Oe,j~~
L~/6. P-cl S W
(Phone) qSL- 4'11,. 12% S-
PI' /01- Lp\. kfL ,;t1# ~S3 72-
(Name)
(Contact Name)
...BUILD EK C 0#
t2U- (l11-P- ~ ~ c.... Cv,LfJ
)L.,l' ''/ JL t--~ e-r
(Address) 10140 l,i'l~/~At-e-So sre1A>C": ~/b~1
(Phone) QS7.-- i'&!-~ Cfl( 0
(Phone) q S l- KK S- tfytt 0
TYPE OF WORK
o New Construction
ODeck
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
62-8 -6
o Misc.
DPorch
1-0
ORe-Siding
DAddition
DAiteration
DUtility Connection
I hereby certify iliat I have furnished information on iliis application which is to ilie best of my knowledge true and correct. I also certify iliat I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter upon the property/o perf< need~ns U / tj 11/ / 0 7_ / 0- 07
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7& -
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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