HomeMy WebLinkAboutBuilding 07-0843
~~TY OF PRIOR LAKE BUILDING PERMIT,
d PORARY CERTIFICATE OF ZONING COMPLIANCE
~ tJ AND UTILITY CONNECTION PERMIT
'" ~ ~!.,fl \ to
(Please
ADDRESS
n at bottom)
~tr
~
1+ 7/3
Date Rec' d
9, {;, d7
] White
Pink
Yellow
I PERMIT NO. 07. 084:3/
File
City
Applicant
M/I/~ L-N.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS"'. 300. 037,,0
OWNER
(Name)
(Phone)
(Address)
i BUILDER \. \
I (Company Name)~
(Contact Name) L;
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditlOn OAlteration OUtility Connec
CODE: DI.R.C. DI.B.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
(Phone) q5Z-~q'2 5 -b~.?b
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
o Mise.
B
S
PROJECT COST /V ALUE
(excluding land)
$
U
I hereby certity that I have hlrnIshed mt'Jrmation Dn this apphcatlOn which IS to the best of my knowledge true and correct I alsD certify that I am the Dwner <II authDf!zed agent I'Jr the
ab<lve-mentlllned property and hat all constructIOn Will conf'Jrm to allexlstll1g state and Incallaws and will proceed 111 accordance with submitted plans I am aware that the bruldll1g
official can revoke thlS per It O[ JlIst '<lllSt' Furthermore, I hereby agree that the CIty official or a dcslgnce may enter upon the prnpet1y to perform needed InSpectIOns
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ I
This Application Becomes Your Building Permit When Approved
lluildl11g Unlclal
Date
q-b -0 7
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7(,
ThIS IS to certIfy that the request in the abllve applIcation and accompanYlIlg documents IS in accordance with the City Zoning Ordinance and may pn)cl'cd as requested ThiS document
when signed by the City Planner constitutes a temporary CertIficate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must he
i."islIcd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (9521447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372