HomeMy WebLinkAboutBuilding Permit 07-0251
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-, 23. OJ
ADDRESS
#-26
0/1 CI11711JJ
] White
Pink
Yellow
I PERMIT NO. 07. 025/ I
File
City
Applicant
-
L/!)I/&
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDz.. S- ., ~ \4--. 0 z.. (r:J . D
OWNER
(Name)
(Phone)
(Address)
i BUILDER ~ G rt-
I (Company Name) . OV) Vl.pl'YLl( t'J~
(Contact Name) G\-u.Q. "&,n/1.e~",,--
(Address) n 31'3 F~\A. (~04-' [,,-< ~
TYPE OF WORK 0 New Construction ODeck OPorch
DAdditlon DAlteration o Utility Con
q~
4'3;). - <'(? t./-r
t'1/l VI
(Phone)
(Phone)
S-~O )...<-1
ORe-Siding
o Fireplace
OLower Level Finish
CODE: DI.R.C. DI.B.C. o Mise
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certify that 1 have hlrnlshed mfmmatllln on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent lin the
Jbnvc-mcnt 'd property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
olfleral ea ITV' ke thIS per list cause Furthermore, I hereby agree that the City offiCial or a deSIgnee may enter upon the propelty to perlcJrm needed IOspectHlI1S
_ _ f-()'3r 07
Signature
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
lluildlllg Ofticlal
Dalc
Contractor's License No 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'
(]oz,
Tins 15 to certify that the request m the above applicatiOn and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested. Th1S document
v.'hcn signed by the City Planner const1tutcs a temporary Certificate l)f Zonmg compliance and allows construction to commence. Before occupancy. a Ccrt1tkatc of Occupancy must be
issucd
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