HomeMy WebLinkAboutBLDG 07-0248
TY OF PRIOR LAKE BUILDING PERMIT,
, tfEl\W9~ Y CERTIFICATE OF ZONING COMPLIANCE
~\ost.. Y\':JL \--'J '-{'A UTILITY CONNECTION PERMIT
\> S-12'\\6t:>
, O~~
1t-30 g
t,/1/C&5,/PC
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
Date Rec' d
-{-# 20 0;
I While
Pink
Yellt1\\.'
I PERMIT NO. 070248 !
FIle
Cicy
Applicant
-
r?1../ C/
ZONING (office use)
PID '-- r. '] UJ. 0 (~Z. - 0
(Phone)
1$;';' 11-0 cJ-:JOO
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Conn tlOn
CODE: OI.R.C. OI.B.C.
Type of ConstnIction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
o Mise.
A
R
5
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
x
I hereby cerrity that I have hlrmshed Int(lImatllJn on this applicatIon whIch IS to the best of my knowledge true and correct. I also cerrlfy that I am the owner or authOrIzed agent 1(1I the
Jbove-mentllJ 'd property and that all construction WIll conform to 11 eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the building
otticial can r oke tillS permIt for Just cause Fu' ermor her' gree that the CIty official or a deSIgnee may enter upon the propeny to pert(lIm needed Inspe.ctulns
/2
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $
This Application Becomes Your Building Permit When Approved
BuIldlllg Ufflclal
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ ~&.OO
ThIS IS to ("errlfy that the request In the above applicatIOn Jnd accompanYing documents IS In Jccmdance with the City Zomng Ordinance and may proceed as requested. TillS document
when signed by tbe CIty Planner constHutes a temporary Certificate of Zoning compliance and allows constructIOn to commence. Before occupancy, a Certlticate of Occupancy must be
I i.sslIcd
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