HomeMy WebLinkAboutBLDG 07-01049
Date Rec' d
ERTIFICATE OF ZONING COMPLIANCE
TILITY CONNECTION PERMIT
(Please
ADDRESS
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Pink
Yellow
11/2/07
I PERMIT NO. 1J7-/019
File
City
Applicant
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
tY ~ i" -e .s.{=> ~.l-J--)-"'-........
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
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Le...P.l'Y"
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P"O 'o",-,'/cf A>!.(~7.!.
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(Phone) 6"51- 43) - 'lIlt.
(Phone) b I.J. -,b &'~ - .J '1.3 >
TYPE OF WORK D New Construction DDeck DPorch ~Re-Roofing
DAddltlOn DAlteration DUtility ConnectIon
~e-Siding DLower Level Fimsh
D Fireplace
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CODE: ~I.R.C. DI.B.C. D Mise.
Type of Constnlction: I II IV V A B
Occupancy Group: A B E M R S U
Division: 4 5
PROJECT COST/VALUE $
(excluding land)
I hereby certify that 1 have hlflllshcd mformation on this application which IS to the hest of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
dboYe-mentlOned plOpl'lty dnd that ,IiI constluctllln wIll conflllm to all eXlstmg state and local laws and wIll plOceed m accmdance WIth submItted plans 1 dm dW,lJe that the bUlldmg
~liCl'il ea 'yoke tillS pel mlt 1m lust cau~'Ci morc. I hCicby agrec that the Clty5;~ 4~n~ lter upon the pwpcny to pei form nee~d;~::I~'//) .>
Signature Contractor's License No. . ? Date
Permit Valuation 1( -ZSOO,OO
Permit Fee $ ''7'-{.7>
Plan Check Fee $ -
State Surcharge $ ; I 2 S"
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
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I llllIlchl1g Jf!,clal
/(/2/1) 7
! ()ate
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fec # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 7&. f) 0
Paid
Date
~I._ 0 0
1'2-(07
I ~~cei1to. 54~77
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ThiS IS tn certify that the requcst in the abnvl' applicJt10n and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes a temporary Certificate of ZOI1mg compliance and allows constructIOn to commence Before occupancy, a CertIficate 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
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