HomeMy WebLinkAboutBuilding 07-0471
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(,. 12-, 0 7
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07 o~7 /
ADDRESS
-
/7/7S
lOA
-
c,/ ~ ~{"t::;,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-r:::-. k2 z... 605 _ 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
S t-11M Vi? r,AJ 6
~ /15("1(1)
L odJ J r;
(Phone)
(Phone)
9s;;?~ ~9;) ~s-8 g()
TYPE OF WORK 0 New Construction ODeck
OAddition OAlteration
fiN /UN
5'5
~
ORe-Siding OLower Level FinIsh 0 Fireplace
CODE: DI.R.C. DI.B.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
I hereby certify that I have hlfOlshed mformation on this application which IS to the hest of my knowledge true and correct. I also certify that I am the owner or iluthonzed agent for the
ab"vc.mentlllned property and that all Clmstructllln WIll conform to all eXlStll1g state and local laws and will proeeed 111 accordance with submItted plans I am aware that the blllldmg
official call revoke tlus 1 for Just l nhermorc, I hereby agree that the City official or a desIgnee may enter upon the property to perform needed mspectlOns
_ ~t5~09997 ]
Contractor's License No.
6/, ~/o7
, Dite
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
$
$
$
$
$
Gas Fireplace Permit Fee
$
$
$
$
$
$
I $
$
SAC
#
#
Park Support Fee
Permit Fee
Plan Check Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
#
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
TOTAL DUE
Illltld1l1g Umclal
Date
ThIS IS to certify that the request 111 the above applicatIOn and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner e"nstltlltes a temporalY Certiticate of Zomng comphance and allows Clmstruction to commence. Before occupancy, a Certlticate "f Occupancy must be
Issul'Li
Planning Direetor
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