HomeMy WebLinkAboutBuilding Permit 07-0086
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT d-(;l. f.t:, /07
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07-Do8"b
(Please
ADDRESS
~
ZONING (office use)
,$I
,5.c- _
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z-S. 00' .113.0
OWNER J /
(Name) C/74,-/r"l
~___ / It ,,--
,
(Phone)
(Address)
BUILDER / JI ,I ./J
(Company Name) 13//;5 fJt:'n->{ JC.y~ ,';-
(Contact Name) 13/'11 m 1'--
(Address) L/<117 Ie/a' f~~~
.f icmvi t~
t:' t-<-r J-
(Phone)
(Phone)
S4,/c.-.r frJ~
r5~- ~~- Jl.))f/'
5.............:'_
:;;)53 7~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition ~lteration o Utility ConneCtlon
o Mise.
ORe-Siding OLower Level Finish
o Fireplace
CODE: KlI.R.C. DI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
J:opo-
f
-
I hereby certify that I have hlrmshcd mformatum on this applicatIon which is to the best of my knowledge true and corrcct. I also ccrtlfy that I am the owner or authonzed agent for the
dOnVl'-mentlOned property and that all nmstructiun \vill conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildll1g
ollicial can revoke tlm permIt fm Just cause Furthermore, I hereby agree that the City officialm a deSignee may enter upon the propeny to pert()rm needed mSpl'ctHJI1S
X 4~ ____-------- 203(/1012- .2-26~7
Signature Contractor's License No Date
Permit Fee
-
I Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 76,00
Permit Valuation
Plan Check Fcc
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
'.2S
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
I~y_.("'\.
I . ~ cf)~(o7
I Blllldl11g UniClal ' Dale
Paid
Date
I&"lh " 7
YPNO
9-cf'7J
./
ThiS IS to certify thilt the request II1 the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may pnK~ced as requested Thl.s document
when signed by the City Planner cunstltlltes a tempurary Certificate uf ZUI1mg comphance and alto\vs constructIOn to commence. Before occupancy, a Certificate of Occupancy must be
l.."islll'd
Planning Director
Special Conditions, if any
Date
H hOllr notice for all inspections (952) .t.t7-9850, fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372