HomeMy WebLinkAboutBldg Permit 07-757 Egress W
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. ( -. 767 I
at bottom)
ADDRESS
L{G~L
Nl~
ZONING (office use)
~lSt)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER-n ~ ~) 'II -Jr---...r
(Name) I nq.rt ~c
,
I (Address) Ill") Z l/(L-~S /')ft-c ~l.-vt-l
(Phone) & (2 - C(~ (- )45"<-
BUILDER ~ .".1> '- C ';\) ^-.
(Company Name) {/ r-"~f" -.::::. U"<:J/
(Contact Name) ~u"Jll,-f E~b{l-~~
(Address) / f? 10~ C d?-LL(
11 ,,/1.7 (: '"S
(Phone)
(Phone)
c, (z - 1. 2..1 - eel S
~ (? - 22 i - (L I S-
f\~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiIity Connection
--- l; \ ,..J~C>V
CODE: DI.R.C. DI.B.c. ~sc, f; e-i2-E' '\IS
Type of Construction: I II III IV V A B ) ,000 r Ob
Occupancy Group: F H I M R S U PROJECT COST /V ALUE $
Division: I 2 3 4 5 (excluding land)
x
Contractor's License No,
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 $
Paid
Date ~{-JD.j 07
Rece{1 No. f"~'-Jt!/
By ~
ThIS IS to certify that the request in the above applicatlOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Dale Special Condilions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372