HomeMy WebLinkAboutDeck Permit 07-0970PR!o~ CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
~~ "~ ~ . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `(~, 9 d
~ ~'~ ~~ ~ AND UTILITY CONNECTION PERMIT
M~~'NES~~P~ ~/G/G.. v~/ O~~
~. white File PERMIT NO.
_ rink city - O~ Q p ~ /ti
(Please type or print and sign at bottom) • ~•~~ •~ ~~~•~~~~~~~ ~
ADDRESS
3~~~ ~~rto~ ~~
LEGAL DESCRIPTION (office use only)
LOT~'~ BLOCK -~ /~
,~ ADDITION ~,r~=~'~~/I_~ f°~,~r /~ ~ ~ PID
ZONING (office use)
OWNER
(Name) (Phone)
(Address)
BUILDER ~ ~
(Company Name) w~~ ~~e .t!-/I~,+t~ !~/p~t ~S (Phone) ~~~-'`~~~ ~~ ~
(Contact Name) ~+'~ ^^ (Phone) Ci +'r} ~3~; 5- 7~ ~
(Address) /~~ ~ PGA Z f+ fJ ~-' ~e.~ p~0 d ~ GAN t~s/V y~/~..~
TYPE OF WORK ^ New Construction Deck ^Porch ^Re-Roofing ^Re-Siding ^Lower Level Finish ^ Fireplace
^Addition ^Alter to ^Utility Connection
CODE: I.R.C. ^I.B.C. ^ Misc.
Type of onstntction: I II III IV V A B
Occupancy Group: A B E F H M R S U PROJECT COST/VALUE $
~ Division: 1 2 ~ 4 5 (excluding land)
...~.~„y «,...y ~~~.,~ t uavc nnuuuat m
above-mcnuoned property and that 11
ufficia~an~rt~_~w+rtPTSArmu fitrit~c~
x
appLCahon which is to the best of my knowledge true and currecL I also certify that I am the owner ur authonzai agent Ibr [hc
conform to all existing state and local laws and will proceed in accordance with submrttcd plans. 1 am aware that the building
~, 1 hereby agree that the city official ur a designee may enter upon the property to perfi~rm needed inspections.
Contractor's License No- n~.<
Permit Valuation (~ ~..
Permit Fee $ ~ ~1
JV
Plan Check Fee $ ~~.
State Surcharge $
~ Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee ~ $
Sewer & Water Permit Fee ~ $
~ Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ ~ /e
i Ruildute l)hilcial I)•t[c ~
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit ~ $
Other $
TOTAL DUE $
Paid Recei t No.
Date B ,~_
~-~ l76?~
Thls is to certify that the request in the above application and accompanying documents is m accordance with the City Zoning Ordinance and ,may proceed as requested. 'I'bis document
when signed by the City Planner cunstuutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cernhruc of Occupancy must he
I\tille p ,'~~
D o
Planning Director Date Special Conditions if any
. .... .... ...~i...•....~~~ ti i~J YYi-%n~ll. lii\ t%,ILJ ii/-•4L-11
4646 Dakota Street Prior Lake, MN 55372