HomeMy WebLinkAboutBLDG 07-0404
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
~ loc;e. ~ UTILITY CONNECTION PERMIT
~P{o8 /1>
Date Rec' d
- zS 07
!/. -
1 WhIte
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 7. 04~ I
n at bottom)
/S~S4-
OI1&q/1
. 1/tA'1 L--
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2S". 21/)' r.xf>J -0
~':e~R (~iJt4A-L- ;4 rvo
(Phone) 7?s.:;2K?//t.fv
(Address)
(Phone) tc5'j 4 bq 7 Cj' S~
TYPE OF WORK 0 New Construction ODeck OPorch ~e.Roofing ORe-Siding OLower Level fimsh 0 Fireplace
OAdditlOn OAlteration o Utility ConnectlOn
CODE: DI.R.c. DI.B.c. o Mise.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
n on this applicatlon which is to the best of my knowledge tflle and COlTect. I also certify that I am the owner or authorized agent for the
ab<lVl'-mentlllned property and that, constl ctlon will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
Furthermore, I hereby agree that the City official or a deSignee may enter upon the propel1y to pert()rm needed Inspections
~ 5" -;;)S- -6 'j
Contractor's License No. Date
Park Support Fee
#
#
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
SAC
Plan Check Fee
Water Meter Size 5/8"; 1",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace PermIt Fcc
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Hulldlllg Urtlclal
Date
$
$
$
$
$
$
$
ThiS IS to certify that the request in the above appl1catlOl1 .md accompanYlllg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThIS dllCumeot
when signed by the City Planner constltlltcs J temporary Certificate of Zumng compliance and allows construction to commence. Before occupancy, a Ccrtlficatc l)f Occupancy mLlst be
issued
Special Conditions. if any
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372