HomeMy WebLinkAboutBuilding Permit 07-1050
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
(0 1st /(j 7
I PERMIT NO. 07-/{J~O
File
City
Applicant
(Please
ADDRESS
n at bottom)
ZONING (office use)
/707S-
J-LJdeh
Ve'
QJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
Pe rfor tv-.a J.'\ (,'t
Jt!J~ A Il-fh
5))'1 H:
L.D", S i .
(Phone)
(Phone)
q(}..... ;'Cj).- Eo'/)
(Contact Name)
Pc!
(Address)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration o Utility ConnectIon
ORe-Siding OLower Level Finish 0 Fireplace
, I
tJdfU3-~to g 8M'
PROJECT COST IV ALUE $
(excluding land)
CODE: ~R.C. DI.B.C. ~iSC
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
[ hereby certify that I have turmshcd informatIOn on this application which is to the hest of my knowledge true and correct. I also certify that I am the oWllcr or authOrized agent for the
dbnve,mentlllned property ond thot ,111 Cllnstructllln wdl Cllnt,)rm to oil eXlstmg stOle and local laws ond will proceed m occordonee with submitted plans I am aware that the buddmg
ottiu(ll C<in I evoke thiS pCI mlt fOl lust causc FlIl thel mOil', 1 heIcby agl ce that the CIty offiCial or a deSIgnee may enter upon the plopel11' to pel form needed inSpectIOns
X -=::.c-~ &"~ I(JI]/,!;!
SIgnature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
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 $ '-II. 7~
This Application Becomes Your Building Permit When Approved
I~~
i Blllldlllg UffI(la!
1~/3{/07
, Date '
Paid
Date
I ~~cei~O.
r'
5 t{ f 11
1~~;~~7
, l
ThIS IS to certify that the request 111 the above application and accompanY1l1g documents IS m accordance with the City Zoning Ordinance and may proceed as requcsted ThIS dlKumcnt
\vlwn signed by thl.:' City Planner cn!1stltutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence Before occupancy, a Certificate of Occupancy must be
i\sucd
Planning Director
Special Conditions, if any
Date
24 hour nolicr for all insprclions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372