HomeMy WebLinkAboutBuilding Permit 07-0128
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CITY OF PRIOR LAKE BUILDING PERMll,
TEMPORARY CERTIFICA TE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date !tee 1 d
3.1(P~07
(Please
ADDRESS
n at bottom)
.s- 7 J l...
"'~o"J TIL ~ &F
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
White
Pink
Yellow
I PERMIT NO.
File
City
Applicant
O1.orze;
ZONING (office use)
PID )(. Z,14-. 614-, 0
OWNER -r-
(Name) lodvf
/.j.~1I'\ J h ~ c-./
(Phone) ~ It - J I' c.. - 0 (Q ~ 0 cc.. v
(Address)
BUILDER
(Company Name) (2..~ W Cun.S +rv'- ~ ~ Ci '""
(Contact Name) t"3"Co.5 ~o..s uo ,C:/
(Address) 7l (i ~v c..r- L-V ~/I<c... G-~
(Phone) Co Il. -1). ~ . .s-'- ~ (
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddltIon OAlteration o Utility ConnectIon
CODE: OI.R.C. OLB.C. o Misc. -----
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 hClL'by Cl'ltlty that II1<1v(' tll1n1shed mtOlmatlon on thiS .1pphcatlon WhlCh 15 to the hest ot my knowledge tIue and COlrcct I also celtlty that I am the owncl Ol ,wthoflzed agent tm the
db<1Ve-~ned pJOpelty dnd that all wnstluctllln will wnform to all eXIStIng state and local laws and will plOceed In accmdance WIth submitted pl,ms I am ,IWaIe that the bUlldmg
<1ttl(ldl( ~voke tillS pClmIt 1m lust cause Fl1IthClmme, I heleby agree that the City offiCial or a deSignee may enter upon the plOpelty to pettorm needed mspectl<11lS
X '7.~ Contractor's LtcenseNo .3 -I'r~a: 1
Permit Valuation .;JrOV.Ou
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
I Plumbing Permit Fee $
I
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
I
I \
I
I
Iluildlll~ Urtlcial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
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 appJicatHH1 and accompanYlIlg documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested Tlus document
when signed by the CIIV Planner (onstltutes a temporary Certificate oI ZonIng compliance and allows CllnstrUetIon tn wmmence. BeIore occupancy, a Certlflcdte <1I Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372