HomeMy WebLinkAboutBuilding Permit 07-0147
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
:5 z I. ~7
White
Pink
Yellow
I PERMIT NO. 07. 0/4 7 I
File
City
Applicant
ZONING (office use)
/47/4-
LflvO~ &U~t: '77M?'~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z. S--. 2- 8 4-_ 0/(,. ()
OWNER&. C
(Name) j/iN <r JlcICyL
(Phone) '95cSl.- .y~?-~?IJ'I
I
&!JDrnJ~r:..f
(Address)
i BUILDER
I (Company Name~1i"-~
I (Contact Name) '~.L\
(Address) /..y 77-b
.~C" ~ (Phone)
(Phone)
p.M'.
,/"">-> A...
9..5d- "SI..sIo ~ T/ 9
,
96"d- 4-Yo-Jfi9
~/O? - c:r6.0 -d9~ /
"::><:1
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlon OAlteration OUtility Conne tlOn
CODE: OI.R.C. OI.B.C. o Mise.
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlfnlshed mformation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentlllned property and that all Cllnstruction WIll conform to all eXisting state and local laws and WIll proceed in accordance with submitted plans I am 'Iware that the bUIlding
()lfiClaI CJn revoke this ptTmlt for Just caus . crmorc 'H.'by agree that the CIty official or a deSIgnee may enter upon the propel1y to perttJrm needed InSpcctHlns
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
! Penalty $
I Plumbing Permit Fee $
~echal1lcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
Building Ufficial
Date
dos-94P4..3
Contractor's License No.
L3-c;Jj-o ~
Date
I 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 j $ &. O() I
2
SJZ5
This IS to certify thil.t the request In the above applicatlon and accompanymg documents is 1Il accordance with the City Zoning Ordinance and may proceed ilS requested. ThiS dllcument
when signcd by the CIty Pl.1nner constltutes a temporary Certificate of Zoning Cllmphance and allows constrUCtlon to commence. Before occupancy, a Certrlicate of Occupancy must be
i.'iSllCd
Planning Director
Special Conditions_ if any
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372