HomeMy WebLinkAboutBLDG 07-0738
CITY OF PRIOR LAKE BUILDING PERMIT,
RARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f;.1,67
I White
Pink
Yellow
I PERMIT NO.
07.0736
File
City
Applicant
se
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) ~~ S S' ~
W~D~<-
b I ~ 3.J T - q. 7.:t J-
(Address) 1 Ie 1 S -<; l A- ;( C ~ \ C:l [~ it'\.'-Q ~ ,;"""-
(Phone)
i BUILDER
I (~5fl1pal1) Name)
I
I (Contact Name)
I (Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditIon OAlteration OUtility Connection
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
2 3 4
A
R
5
Re-Siding OLower Level Finish 0 Fireplace
o Mise.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
I hereby certIfy that I have furmshed InformatIon 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
above-mentIOned property and that all constructIOn Will conflllm to all eXlstmg statc and loca] laws and will procced In accordance with submllted pIa", I am aware that the buddIng
offinal can rev ke thiS pt'lmlt tlll Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon thc propelty to pertorm needed InSpectHms
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
I Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
Blllldlllg Urticial
Date
Contractor's License No.
-. g 7. Or
Date
# $
# $
$
$
# $
# $
$
$
$
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
ThiS IS to certlty that the request In the above applicatIOn and accompanYlllg documents IS In accordance Wllh the C. y Zoning OrdInance and may pmceed as requested Tfm document
whcn signed by the Clly Planner CllnStilutes a temporary Certificate uf Zonll1g compltancc and allows constructIOn to commence. Bcfme occupancy, a Cntlticatc of Occupancy must be
L"iS 1I cd
Planning Director
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any