HomeMy WebLinkAboutBuilding Permit 07-0317
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CITY OF PRIOR LAKE RUILDINC PEIlMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
ADDRESS
~3~1 C11CSr/JlIT LAtJ6
Date ll.x \ J
5. /t). /
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. () 7. O:J 171
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
gR/tP s 'R tJt}/='/# G-
7) f<M)
l')..."3lo r.!{2DW,.,) HIK
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditton OAlteration OUtility Conn
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
~ I;) -?JCf-7533
CJ?f
(Phone)
(Phone)
75 ~p'~
ORe-Siding OLower Level FinIsh 0 Fireplace
Contractor's License No.
Park Support Fee
SAC
#
#
o Mise.
B
S
U
PROJECT COST /V ALUE
(excluding land)
$
I hereby certify that I have furnIshed mformatlOo on this application which 15 to the best of my knowledge true and correct. I also certIfy that I am the owner or autllOnzed agent for the
dbove-mentlllned property a that dll co, Jetton wtll contllrm to all eXlStlng state and local laws and will proceed In accordance with submttted plans. I am aware that the budding
(ltliciaI can rev s per r Just I Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to pcrt(1fm needed lnSpcctlOns
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 $ i
This Application Becomes Your Building Permit When Approved
Iluildltlg Utllclal
Datc
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
5""-/47-0'7 _
Date
$
$
$
$
$
$
$
$
$
Planning Director
Date
24 hour notice for all inspections (952) 447-9851l, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Water Tower Fee
Builder's Deposit
Other
7G.,W
ThIS IS to certIfy that the request in the above applicatIOn and accompanYll1g documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
whcn slgncd by thc CIty PI,mner constttutes a tcmporary Certtficate of Zomng compltance and allows constructIOn to commence. Before occupancy, a Certlficate tlf Occupancy must be
I issued