HomeMy WebLinkAboutBuilding Permit 07-0233
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
/ ~5S7
~/!~6 i-iJ.
Date Rec' d
1".11.01
White
Pink
3 Ye!1nv.,'
I PERMIT NO.
07-d3!
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID zs: 2-84-.047.0
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
W".s -I U('~ l2.oeJ{" 115...
h'\ " k~ So h (' v'\ ct e ~
00 131-" v~_
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition DAlteration o Utility Conn
(Phone) 7~3 5V1 O--:lOc..../
(Phone)
tJ./ ~-:5:::.-Y q I
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c. o Misc.
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 certlly that I havc hlrmshed mformatlOn on this applicattOn which IS to the best of my knowledge true and correct I also certlly that I am the owner or authOrIzed agent /iJr the
abovc-mentlOned property and that all mnstructlOn will conform to all eXIStmg state and local laws and WIll proceed m accordance with submItted plans. I am aware that the buildmg
official can rev e 11S permit for Just c< use Furthermore, I hereby agree that the City official or a deSignee may enter upon the propel1y to pcrt(Rm needed mspec IOns
2ol~S>~b
Signature
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 $ i
This Application Becomes Your Building Permit When Approved
Buildmg Unieial
Date
Contractor's License No
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 $ 7C,'V
t No. .:J3Zl/
ThiS IS to certity that the request In the above applicatIOn and accumpanYIng documents is 1I1 accordance WIth the City Zoning Ordinance and may proceed as requested ThiS document
v.'hen signed by the City Planner Cllllstltutes a temporal)' Certificate uf ZOlllng compliance and allows construction to commence Before occupancy, a CertIficate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspectinus (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372