HomeMy WebLinkAboutBLDG 07-0446
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
6=-i~~ ANY ~~~~~Ct~~N~~~?;::~e~~PLIANCE ~, 5. 0 7
51'~~ b ;;,,;. :;:;,,,,,, PERMIT NO. 07. O#~ I
. nt and si n at bottom)
AJ/I
(U/Z.-- N'6
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
k"",o'rj
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility ConnectIon
(Phone)
(Phone)
L~~
952--3.f~- tf3~t:
S~3 '7 '2-
OLower Level FinIsh 0 Fireplace
CODE: OLR.C. OLB,C. o Mise.
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
aVe hl DIshed mf'lJmatlOn on this application which IS to the best of my knowledge true anll correct. I also certify that I am the owner or authorJzed agent tor the
above-mentIOn prop rty d that all construction wJ!1 conf'lJm to allexlstmg state and local laws and will proceed m accordancc with submitted plans I am aware that the buildmg
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Contractor's License No. ~ate
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
$
$
$
$
$
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
$
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
Butldmg Urticlal
Datc
TOTAL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
ThiS IS to certIfy that the request m the above applicatIOn and accompanYlllg documents IS III accordance with the City Zonmg Ordinance and may pmceed ;IS requested ThiS documcnt
whcn signed by the City Planner constltutcs a temporalY Certificate of Zonmg compllanCL' and allows cunstruction to commence Before occupancy, a Certlticate of Occupancy must be
issLlcd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (9:';2) 447-9S:';O, fax (9:';2) 447-424:';
4646 Dakota Street Prior Lake, MN 55372