HomeMy WebLinkAboutBuilding Permit 07-0453
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
6!r;/tJ 7
I PERMIT NO.07 - tJ ~t;;;J ,
File
City
Applicant
ZONING (office use)
):}5'5 5fJJ?.uc[ ~L, yW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 17 -
(Name) 'Jf2..eLc,~+Otz-J)
35, >j){lv(C~
(Phone) 612- 71'1 if ye; 1
(Address)
fZ..L Ski
i BUILDER ,/
I (Company Name) J~ 5'f J Ttl4f.(
I (Contact Name) lJhL.l~ i3"C4~ j
(Address) (1.{7 " S~(HI iJ 11V'7l,
C4t H1.-
(Phone)
(Phone)
V I u,.. f-
<( F1-'r3 r~L.(vo
J'~
MN" () ,
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration o Utility ConnectIon
~ng OLower Level Finish 0 Fireplace ~
( Jlt.f/th..t, ttn'LITr Ivlkllu-J -Ie.
1~
PROJECT COST IV ALUE $ "'" f pV .
(excluding land) ((1, I
I
CODE: !.R.C. DI.B.c. ~c.
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
I hereby certify that I have turlllshed Information on this application which is to the best of my knowledge true and COtTcct. I also certify that I am the owner or iluthonzed agent for the
Jhnvl'-rncntlOllcd prl LTty ilnd that all clll1struction will conform to all existmg state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
official can rcv T IS permIt for Just cause Furthermore, I hereoy agree that the CIty official or a deSignee may enter upon the prope11y to perfcJrm needed lnSpectlons
~/~a: ?
x
.>-tJ r 317 i' l--
Signature
Contractor's License No.
Permit Valuation
-
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ 7(0. () 0
Permit Fee
Plan Check Fee
State Surcharge
$
I, 2-~
Penalty $
Plumbing Permit Fee $
Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~M~
I lluildll1!! Uniclal
Paid
Date
Lto 0 ()
(~{ () ,
I Receipt NO~~WS
By ~
(p !ft:J /tJ 7
{ [)6te
ThiS IS to certify that the rcqucst in the abllve application and accompanYlllg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS dl)CUmcnt
when signed by the Cay Pl.1nner constItutcs a temporalY Certltlcate uf Zonlllg comphance and allows cunstructIun to cummence Before uccupancy, a Ccrtlficatc of Occupancy must be
issucd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (9S2) ....7-98S0. fax (9S2) ....7-..2..S
4646 Dakota Street Prior Lake. MN 55372