HomeMy WebLinkAboutBuilding Permit 07-0250
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
Date Rec' d
1-. 2-3,07
] White
Pink
J Yellow
I PERMIT NO. 0"7. O~U I
File
City
Applicant
-f-O q 9 /C/lfp?LfC)i./z7 leA' .0 c; t;.
~/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
I hereb certily that I have hlrnlshed Information on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the nwncr nr authnllzed agent Ill! the
nVl'-mentlone elty and that all construction will conform to allexistlOg state and locallaws and will proceed in accordance with submItted plans. I am aware that the puildmg
an revoke thIS I mil tllr Just cause Furthermore. I hereby agree that the City official or a deSignee may enter upon the property to pertlJrm needed mspeetHlns
C" - 2oD-J4lfd? 4--Zs -0/
Signature Contractor's License No. Date
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditlOn OAlteration OUtility Conne
CODE: OI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
~
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buddin!! Unicial
Date
(Phone)
(Phone)
R -1( ~ () .---
SD7--ZrJ8-sYi
tA-
ORe-Siding OLower Level Fimsh 0 Fireplace
o Misc.
B
S
PROJECT COST /V ALUE
(excluding land)
$
U
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 $
ThIS IS to ccrtlty that the request in the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance anti may proceed as requested ThIS document
when signed by the City Planner constIlutes a temporary Certificate of Zonlllg complrance and allows construction to commence. Before occupancy. a Certificate "I' Occupaney mllst be
isslled
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372