HomeMy WebLinkAboutBuilding Permit 07-0741
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
Date Rec' d
I White
Pink
Yellmv
File
City
Applicant
PERMIT NO'o7 -14- )
M/~ l,fItJY rJuJ
ZONING (office use)
(?U()
LEGAL DESCRIPTION (office use only)
LOT /3BLOCK i ADDITION
OWNER
(Name)
(Address)
I BUILDER
I (Company Name)
I
I (Contact Name)
(Address)
T7~ G,U ll.-f) 5 Z 1-:.-'"> Ai?/? N
PID 2). 3z ~-cr:; .0
(Phone)
Or S-)-,' J'
(Phone) /- *,/-5CS- .
(Phone)~/;Z - 8'0 /-L10" '/
n Pram
:!)d 37 WI I cl5- ;1 Xl() y IV uJ
(
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level FInish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
o Mise
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
/ ~ tltJtJ ~--
,
is applicatllln which IS to the best of my knowledge true and correct. I also certJly that I am the owner III authollZed agent till the
'ill contiJrm to all eXlstll1g state and loeallaws .1I1d will proceed in accordance with submItted plans I am aware that the butldll1g
rmo:l hereby agree that the J3ff2 ~e0111gj I propCIty to perttllm needed 197~ /cJ L
Contractor's License No, Date
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanrcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
ecomes Your Building Permit
:J
'-2 ::;!.J {) < ~
1
Park Support Fee
SAC
#
#
#
#
$
$
$
$
$
$
$
$
$
'7 <:" ~-
/-'L.~
Water Meter Size 5/8"; I",
Pressure Reducer
Paid
Date
J~(o 1
I ~~ceiPt N Iv; ;;f~ '1
Planning Director
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Date
2~ hour notice for all inspections (952) ~~7-9S51l, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
ThiS IS to certify that the request in the abllVl' applicatiOn and accompanYlllg documents IS In accordance wIth the City Zoning Ordinance Jnd may proceed as requcsted ThlS document
whcn signcd by the City Planner Cllm,tltutcs a tempurary Certificate of ZUnIng compliance and alluws constructIOn to commence Before occupancy, a Certificate ill' Occupancy must be
issllcd
Special Conditions, if any