HomeMy WebLinkAboutBuilding 07-0666
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
TOte.~';J ;7,)
/fi/~
/tt95 !S
Date Rec' d
7 25 07
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. O/. t l,~ h
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
I
i BUILDER . ~
I (Company Name) h j!.5~ r C!;fCNC.e b,t,.Ild.c-/' ~
I LJ .. /11. - ',J
I (Contact Name) ,oP i" LJJY'J .5rl A
I (Address) P<'3o#S- PLA-Ti:.-~,v /'11)<ei-l/,i~
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Con
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
7'3 - y~~ - ~70,;;z
e-Roofmg
tion
ORe-Siding
OLower Level Finish
o Fireplace
$
o Mise
B
S U
PROJECT COST IV ALUE
(excluding land)
I hereby certity that I have hllmshecl mformat\()n 1m thiS applicatIon which IS to the best of my knowledge true and COlTect. I also certify that I am the owner or iluthollzecl agent lor the
ah()Vc-mcntlOt1cd property and that.1.). Cl truction will conform to all existmg state and local laws and will proceed in accordance with submItted plans. I am dwarc that the building
()f- T thiS permll f"t J Fur hcrmorc, I hereby agree that the CIty official or a deSignee may enter upon the propel1y to perform needed lI1spectlons
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
I Gas Fireplace PermIt Fee $ I
I
This Application Becomes Y OUT Building Permit When Approved
Hulldlll!! Lllricial
Date
Contractor's License No.
Park Support Fee
SAC
#
#
? -~S--o 7
Date
$
$
$
$
$
$
$
$
$
ThiS 1S to ccrt1fy that the request 111 the above application Jnd accompanYll1g documents is 111 accordance with the City Zuning Ordinance and may proceed as requcsted. ThiS document
when signed by the City Planner (Lmstltutes a temporal)' Ccrtitkate of Zonll1g comphance and allows construction to commence. Befnre llCCtlpancy, a Certlticate of Occupancy must be
i.<';SllCd
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fec
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ~~7-9850, fax (952) 4~7-~245
4646 Dakota Street Prior Lake, MN 55372