HomeMy WebLinkAboutBuilding 07-0349
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
c,b- ~t..1JP UTILITY CONNECTION PERMIT
rimj~~1B
No ~
Ct.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone) q <; 1- - 2- 'L.ln
<, 1', I
~ '-'" ......J I
OWNER
(N ame)
t~,( l J C C1 --:\0'\"\ l\~) <:::1'\
\ 4 I '\ S CY\ cr0...( cr. '(vf:
(Address)
BUILDER .
(Company NameLQI"..J\ L -\-\... J
a )
(Contact Name) ,-,) fV C 0
(Address) I J.. J 45 c... h
Date Rec' d
S. Ih. 07
~
1 WhIte
Pink
YelloV\
Fde
City
ApplICant
I PERMIT NO.
07. 034--'11
ZONING (office use)
PID z.5: z. 64- 6/1. 0
Pc
S'S'~I
""
....-
'rY\N
SCfVt (Jt 5 L-L C
(Phone) 0\-S.L~:L Ll, -'S:S',/
(Phone) q So' 1- . ~>~ "- \ l,-::5
TYPE OF WORK 0 New Construction ODeck OPorch i\irRe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlon OAlteration o Utility Connelt7on
CODE: DI.R.C. DI.H.c. o Mise.
Type of Construction: 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 l have turmshed mformatlOn on this application which IS to tilt: best of my knowledge true and correct I also certity that I am the owner or authonzed agent for the
Jbovc-mcntlllncd property and that all constructllln Will conform to all eXISting state and Illcallaws and wlIl proceed in accurdance with submitted plans I am aware that thc blllldmg
official can revoke tlm permll flJr JllSt cause lrthermore. I hereby agree that the CIty offiCIal or a deSignee may enter upon the propeny to perf()rm needed InSpectHlI1S
X .-1S '___. "v- S" - \ S . ,.-'/
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
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
lluildlllg Unic;al
nate
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 I $
Other $
TOTAL DUE $ '1~. 00
tNo, .53
ThiS IS to certify that the requl'st In the above applicatIon and accompanymg ducumcnts is 10 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 Certlticate l)f Occupancy mllst be
issued
Planning Director
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