HomeMy WebLinkAboutBuilding 07-0327
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Date Rec' d
So /1. 01
I White
rink
Yellov..'
I PERMIT NO. <1 7 (,/1 Z- 7/
I
ZONING (office use)
FIle
City
Applicant
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
CO~
L~c.c
~ It~
:5 ~ \ <-€.~
~
~ ~-4
(Phone)
(Phone)
<tS2 212- to'"f~
ST-.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration o Utility Connection
CODE: DI.R.C. DI.B.c. o Mise
Type of ConstI11ction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certify that I have hlrmshed IIlformatlon on this applicatIOn which IS to the best of my knowledge true and mITect. J also certIfy that J am the owner or authonzed agent tor the
ab()vC-mcntlOn'd property and that all CllIlstruction will conform to all existmg state and local laws and will proceed in accordance with submItted plans_ 1 am aware that the huildIng
official c ITVl 'this permit forJust cause Furthermore, I hereby agree that the city official or a deSIgnee may enter upon the propelty to perform needed tnSpectlnns
S-/U/b/
Dat
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
i
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
BUlldlllg UnlClal
Dale
-Lt;), 2.~~ to
Contractor's License No.
Park Support Fee
SAC
#
#
$
$
$
Water Meter Size5/8";]";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
/~. U 0
.5J-f-8
ThiS IS to certify that the requl'st 111 the abllve applIcation and accompanymg documents is III accordance with the City Zoning Ordinance and may pn)cl'L'd as requested ThiS dnclImL'nt
when signed by the CIty Planner Cllnstltutes a temporary Certlficate of Zonll1g compliance and allows constructIOn to commence. Before occupancy, a Certlticate of Occupancy must be
issued
Planning Director
Date
24 hOllr notil'c for all inspcctions (952) ~~7-9850. fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any