HomeMy WebLinkAboutBuilding Permit 07-0131
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
3'810
ST..
t/UlJ;
Date Rec' d
3,1-1,07
White
Pink
\'ellow
File
City
Applicant
I PERMIT NO. 07.
DI311
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID )~. ;Lq~. 01;1.0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) SIA{~t:Rt-tJt. t:Ev05T
(Contact Namer~A60,A-J 51/11'.# t:{ l-tJh
(Address) q' 3 ~ So lJ Tit' -:s v 7rt!)V L#~
(Phone) 9S- OI-a.,q~ '58&
(Phone)
a-~~ IJAtU Altf/
6Ll/J,
S"s.Js
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditJon OAlteration o Utility Conn tIOn
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
IV V
I M
3 4
A
R
5
I
E
II
F
1
III
H
2
o Misc.
B
S
U
PROJECT COST /V ALUE
(excluding land)
$
I hereby ccrtify that I have turmshed Information on this applicJtlon which IS to the best of my knowledge truc and correct. I also certify that I am the owner or authorIzcd agent for the
,rbove-mentlllned pruperty and that all constructllln Will con!ilfm to all exlstmg state and locallaws and Will pruceed in accordance with submitted plans I am aware that the buildmg
official can revoke th' '-mlt for ust C<lUS' 'rmore. I hereby agree that the Clty official or a designee may enter upon the propc11y to perform needed mspcctlons.
9009997? 3//9/07
Contractor's License No. ' / Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ I
This Application Becomes Your Building Permit When Approved
Buildll1g Ui'ticial
Date
Park Support Fee
#
#
$
$
$
$
$
$
I $
$
$
--
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
SZ89i
ThIS IS to certIfy that the request 1Il the alhlVl' appltcatlon and accompanYlllg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
v.'hen Signed by the City Planner constitutes a temporary Certificate uf Zon1l1g compltance and allows construction to cummence Befl)re occupancy, a Certificate of Occupancy must be
isslIed
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any