HomeMy WebLinkAboutSIDING 07-0601
PRIOR LAKE BUILDING PERMIT,
( ~~l\tE.<()~RY C IFICA TE OF ZONING COMPLIANCE
t\()<;(L,~~ l...e.AND UTIL Y CONNECTION PERMIT
lAzto~ e~
(Please
ADDRESS
:5-975
;7;A'/'/
Date Rec' d
7 ( ( , It) 7
I WhIte
Pmk
Yellow
File
City
Applicant
PERMIT NO. t) 7 - 0 "0 I
ZONING (office use)
s--L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
S~y~,x,>
7,; a " /
(Phone)
C/;;? -
3C:S;)76
C7A'#-o k
5'
.,
(Address)
BUILDER
(Company Name)
(Contact Name)
'"
J
(Address)
~.d'f'r /0 r
/::)a v <.
9/ 0 () /3/o&1.1#'t
/'~ A a n c e AI't '- It. t s;-
Ka~S'
(Phone)
(Phone)
/'tAl
9s.:? g:? / I SOS'
q
~:s;- 9' g
/3/0 C>
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
I hereby certify that I have hlrmshed mformation on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner Ol" authOrized agent for the
aOllve-mentlllned property and that all CllnstructlOn wlll confc)rm III all eXlstmg state and local laws and will proceed m accordance with submIt led plans I am aware that the oulldmg
official can revoke tlus permit forjust CJuse Furthermore, er('by agree that the CIty official or a designee may enter upon the propeI1y to pcrfc)rm needed 1I1spectlons
X ~~ __
Signature
CODE: OC!i.R.C. DI.B.c.
Type of ,tohstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechal11cal Permit Fee
12S"
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
I This Application Becomes Your Building Pennit When Approved
I~,o~ 7/1,Ud7
-Siding OLower Level Finish 0 Fireplace
D Misc.
A
R
5
B
S
PROJECT COST /V ALUE
(excluding land)
$
,~ SO'S ""y, /0
U
dO;l7/ Y:5"~
Contractor's License No.
2////02_
/" '
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 7 b, GO
I paidfl~" .00
Date It (107
,
~~ce;;o. 530'11
,.....
ThIS IS to certify that the request 111 the above applicatIon and accompanymg documents IS 1Il accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner constItutes a temporalY Certificate of ZOl1mg compliance and allovv's construction to commence. Before occupancy, a Certificate of Occupancy must be
Isslled
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any