HomeMy WebLinkAboutBLDG 07-0994
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
t_~~qRARY CERTIFICATE OF ZONING COMPLIANCE
t\dll..- ",k lQ AND UTILITY CONNECTION PERMIT
~orrfC b
1 While File PERMIT NO
Pmk Cily . ()-J ....<1 q A'"
Yellow Applicant a. \ ~ :t:
n at bottom)
()Y"e[ e IJ E"
f'
fJra.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~'::e~R 8vY\l Set, 0.. (2f~ V'
(Address)
PID2..5 . , '50 ..ocr ~- -I
,
(Phone) 0/ ~ lS/7 2'if7j/ I
BUILDER lA, I I /J..1>\ 5'. J \
(Company Name) fV/fo{/,J'f?t;.'f 1'0tT)~. 1(7(..1[5
(Contact Name) /hevtso.... Mah fht}l'
(Address) 13 0~ #,erJOn f/-w..l
,;.. LJ/~~ .'P1/lC:. (Phone) 7~J ~Z7 Cj"ib
(Phone)
S /6
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
o Mise.
A
R
5
$ '-I,O~S- -
B
S
U
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have turmshed lOLlrmation on this applicatIOn which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent for the
abl1v('-mentlllnl'd property and that all wnstnlClltln WIll cllntllfm to all eXlstmg state and local laws and will proceed in accmdance with submllled plans I am aware that the buddmg
~tiClal C 'vo (' thl::m t tllt J: cause ;:;:;~erebY agree that the CIty offIcial ()[i;~e /~e.~ l;n ;e propetty to pertlllm 1/;/;;:-70 7-
Signature Contractor's License No. · Date
Permit Valuation ZSOD. -
Permit Fee $ ., 4r 1 ~
Plan Check Fce $
State Surcharge $ \~2-\
I Penalty $
i
I Plumbing Permit Fee $
I
Mechal1lcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fec $ i
.
ecomes Your Building Permit Wh
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 $ '1c. _.-
Paid
Date
~7(doi
I ~~celPt NO'r1~~ 9
ThiS IS to certify that the requcst in the abllVl' applicatIOn and accompanYll1g documents IS In accordance with the City Zoning Ordinance and may pn)cl'cd as requested. ThIS document
when signed by the City Pl.lnncr constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate IlfOccllpancy must be
1sstlcd
Planning Director
Special Conditions. if any
Date
24 hour nnticc for all inspections (952) 447-9850, fax (952) 447.4245
4646 Dakota Street Prior Lake, MN 55372