HomeMy WebLinkAboutBuilding Permit 07-0046
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CITV OIY PIUOll LlJ(][ IlUILDIl\JC PEllMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Dati:! Qi:!(!' d
l z-r;;.01
(Please type or print and sie:n at bottom)
ADDRESS
White
Pin~
Yellow
I PERMIT NO. 07. 00+& I
File
City
Applicant
ZONING (office use)
1& t / I
~1/ I L [. u IN" L--rJ /1./6"
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID ZS:. 2...oK'. () L I _ 0
BLOCK
OWNER
(N ame)
(Phone)
(Address)
C:o "d }
(Address) "5
(Phone) (biZ -~(, -7~797
(Phone)
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing.
OAdditlon OAlteration o Utility connectr
CODE: DI.R.C. DI.B.c. 0 MISe.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level finish
PROJECT COST IV ALUE $
(excluding land)
I hereby ccrtity that I have tunushed Information on this application which lS to the best of my knowledge true and correct I also certIfy that I am the owner or authOrIzed agent for the
JbllYe-mentlllned property and that all nlnstructllln wtll confnrm to all eXlstmg state and local laws and will proceed in accnrdance with submitted plans I am aware that the buildmg
oftkial can revoke th~Just cause Furthermure, I hereby agree that the Dty official or a deSignee may enter upon the propelty to pert(Jrm needed inSpectIons
X ~ -;;? c:a--- 1- 2.$'=- 07
," Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
! Plumbing Permit Fee $
f-Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
lluildlllg Urtieial
Date
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 (,.,00
ThIS IS to certIfy that the request 1Il the above application and accompanYlllg ducuments is 111 accordance with the City Zuning Ordinance and may pnlCeed as requested ThiS document
when signed by the City Planner constitutes a temporal)' Certificate of Zomng complIance and allows construction to commence Before uccupancy, a Ccrtlticatc Ill' Occupancy must be
Jssued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372