HomeMy WebLinkAboutBuilding Permit 07-0886
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ADDRESS
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
q /17/07
While
Pink
J Yellow
I PERMIT NO. 07~Bb
File
City
Applicant
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
r;-;iC kf'1? h
PID
OWNER
(Name)
(Phone)
(Address)
(\/ ,
BUILDER
(Company Name)
(Contact Name)
(Address)
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TYPE OF WORK 0 New Construction ODeck OPorch ~Re-Roofing ORe-Siding OLower Level Fil1lsh 0 Fireplace
OAdditlon OAlteration o Utility ConnectIOn
CODE: ~I.R.C. DI.B.c. o Mise
Type of onstmction: I II III IV V A B
Occupancy Group: A B E H I M R S U
Division: 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
?OO()-~~
I hercby certify that I have furmshed informatIOn no this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
JbnVe-mentlOned property and that all ClmstructH)Il will conform to all Lxistmg state and local laws and will proceed in accordance with submItted plans I am aware that the building
oftjeial can fevo ermlt for Just cause Furthermore. I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed Inspections
L/"/ 20JJ>02 7F Cj'~/7 -~ 7
Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
-
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This Application Becomes Your Building Permit When Approved
1<6~~~
I Buildlllg Ultlcial
91r7(o7
Dat'
Contractor's License No.
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 $ ?~. 0 0
I P,id ..~."b I R'C'iPtNo~~"1./7
Date I ?(a7 By ~
e.e-rv; t-t1\N 00 U 7S
ThiS 1.'1 to certIty that the request 1I1 the above applicatiOn and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes a tcmporaIY Certificate of Zonmg complIance and allows construction to commence Bcfnre occupancy, a Certificate llf Occupancy must he
Issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ~~7-985(). fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372