HomeMy WebLinkAboutBLDG 07-0929
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPO~~~~E CATE OF ZONING COMPLIANCE
C(O f~f~ CONNECTION PERMIT
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Date Rec' d
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LEGAL DESCRIPTION (office use only)
LOT BLOCK '3 ADDITION C A.LIJ
r White
Pink
Yellow
I PERMIT NO. 07-1 Zi I
ZONING (office use)
File
City
Applicant
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PID Z,.. 3(<'-02 i-o
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6:10( (j '~ve <;-. IE r
'BU~DER - 8 .
--J!(Company Name) SIt> e q.., <; t I) C r I J/C
Jf'(Contact Name) :Jl; ftv Ld!rll <<rT
(Address) (, G '1 !../rr.f<.L kt'-e~
(Phone)
(Phone) r;, [ J- t.f 0 B 7 f] 3 "L
(Phone)
/r1 J,I ~S- 3' 9 Co
TYPE OF WORK D New Construction DDeck DPorch e-Roofing ~Re-Siding DLower Level FinIsh 0 Fireplace
DAdditlon DAlteration DUtility ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
D Mise.
A
R
5
B
S
PROJECT COST IV ALUE
(excluding land)
U
$
x
I hereby certity that I have hlrmshed IOformatlOn on this apphcatlOn which IS to the best of my knowledge true and correct. I atso ccrtlty that j am the owner or autho!lzed agent lor the
above-mentIoned pr Tty and that all constructIOn WIll confi>rm to all eXlstlOg state and local laws and will proceed 10 accordance with submllted plan_ I am aware that the buildlOg
ollina! c n re IS Jcrmll li)r Just Use - Irthcrmore, j hereby agree that the CIty offici lor a deSIgnee may enter upon the propeny to perlorm neede IOSpectlollS l
/-l)~ /27 3<j ~ f' ;) rt;, 07
Date '
Permit Valuation -ZSODp -
Permit Fee $ "l4., C
Plan Check Fee $
State Surcharge $ t. -z..r
i Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fe~ $
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water ConnectlOn Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ (~.'--
f Paid
Date
it;f7
I :i:"iet No ~ 4:t g~ 1
Tim IS to ctTtdy that the request 111 the above application and accompanYlllg documents is 111 accordance wllh the City Zoning Ordinance and may plOceed as requested TIllS document
when signed by the CIty Planner constItutes a temporary CertIficate 01- Zonll1g comphance and allows constructll1n III commence. Befme occupancy, a CcrtIIicate of Occllpancy mllst be
isslIcd
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372