HomeMy WebLinkAboutBLDG 07-0930
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMr~Y CERTIFICATE OF ZONING COMPLIANCE
.i:i cf(J%*{J~ )D UTILITY CONNECTION PERMIT
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ADDRESS "~
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
- ~7"/-j%/ 7
.
OWNER
(Name) LJtt? 0'6
(Address)
Date Rec' d
1 While
Pink
Yellow
FIle
City
Applicant
PERMIT NO. 6> 1- Gt30
ZONING (office use)
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(Phone) 9'f ...2
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BUILDER
(Company Name) t//J' 5/~ r n t::"t" h y
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(Contact Name) ~ ,.. F &-
(Address)
7&'t::::1
o Fireplace
J"' ~~ /,jC (Phone) '7 p) - f~/ - e;?f(/ tt/
(Phone)
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II
F
I
III
H
2
IV
I
3
V
M
4
ORe-Siding OLower Level FinIsh
o Mise
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing
OAdditlOn OAlteration o Utility Connectlon
CODE: rflR.C. DI.B.C.
Type of Constmction: I
Occupancy Group: A B E
Division:
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
9j ~~.7: L~
I hereby certify that 1 have tunllShed mformatlon Oil tlus apphcatHlIl whIch IS to the best of my knowledge true and mITec!. I also certify that I am the owner or iluthonzed agent tin the
above-mentioned property and that all constructllll1 WIll Cllnf(Jlm to all eXlStmg state and local laws and will proceed 111 accordance with sUbmItlcd plans I am aware that the buildmg
()ff1cial can revoke thl.s permit for Just caLIse Furthermore. I hereby agree that the CIty official or a deSIgnee may cnter upon the propeI1y to perform needed mspcctlons
Signature
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ \-
Penalty $
Plumbing Permit Fee $
Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee ~
12r:J /,$ S S b6
Contractor's License No.
otj"-2J' -19;;
Date
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 $ -rIM? l't;:I
--
~7- i~ Romp' No 9('-87
Zi By f'-IJti
Paid
Date
ThiS IS tu certify that the request in the abuve applicatlon and accompanymg documents is in accordance with the City Zoning Ordinancl' and may pn)cl'ed as requested ThiS dlKument
when signed hy the CIty Planner constItutes .1 tempuralY Certificate of ZOl1lng compliance and allows constructIOn to commence Before occupancy, a Ccrttficate ()f Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) ~~7-985n, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372