HomeMy WebLinkAboutBLDG 07-0381
CITY OF PRIOR LAKE BUILDING PERMIT,
...~>"TEMpt)R*R;Y.; RTIFICATE OF ZONING COMPLIANCE
^I _ ,^. ~ND U ITY CONNECTION PERMIT
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ADDRESS
Date Rec' d
S 23. 07
I White
Pink
Yellow
I PERMIT NO. 07. 038/
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT )OBLOCK
ADDITION
PID Z-~-. 2- '11. C I Z- . ()
OWNER
(Name)
(Address)
(Address)
(Phone) J,;fL-fl' lD2LP5
(Phone)
(Phone) -1J5--1'227
TYPE OF WORK 0 New Construction ODeck OPorch' e-Roofing ORe-Siding OLower Level finish 0 Fireplace
OAdditlon OAlteration o Utility Connection
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
o Misc.
B
S
$ ~BOO
U
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have furnIshed mformatlOn on this application which 1S to the best of my knowledge true and correct I also certify that I am the owner or iluthorIzed agent for the
JbOVl'-mcntlOtlcd property and that illl cnt1struction will conform to all eXIsting state and local laws and will proceed in accord.loce with submitted plans_ 1 am aware that the buildmg
~fiCiaI can revoke tIllS I 'II) fm JlIst ~.W ore, I hereby agree that the CIty official m a dl;lo~nter upon the propeny to perflJIm necde5n}'23/~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Pennit When Approved
Buildlllg UrtiClal
Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '/&,00
~ JEI ~J
ThiS IS tu certify that the request in the abuve applicatIon and accompanYlllg documents is 111 accordance with the City Zoning Ordinance and may procecd as rcquested ThiS document
when signed by the City Planner cunstltlltes a temporary Certificate of ZOll111g compliance and alluws construction to commence Before lKcupancy, a Certificate of Occupancy must he
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