HomeMy WebLinkAboutBuilding Permit 07-0339
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
/7M/
7OK.-()/l/7V
Date Rec' d
s.lro7
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07 033f
,
ZONING (office use)
/?Vb
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
OWNER
(Name)
PID
-0 0 I
G.S . Z fl . 00 eJ . I
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Sip
..s f-RV(
/? 16f. \1tJ
I
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Conne
(Phone)
(Phone)
61 't
f6/'-Y2lJ!
ORe-Siding
OLower Level Finish
Re-Roofing
IOn
o Frreplace
CODE: OLR.C. OLB.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
I hereby certity that I have hrrmshed rnti)rmarlOn on this applicatwn which IS to the best of my knowledge true and correct. I also certify that I am the 'Jwncr or authorIzed agent tor the
Jbt)ve~mentlOned property and that all construction will conform to allexlstmg state and local laws and will proceed in accordance with submltted plans. I am aware that the bUIldIng
official can H ust cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the prope11y to perform needed II1SpcctHH1S
6.-/IS!O "I
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
j Penalty $
I Plumbing Permit Fee $
I
Mechamcal Permit Fee $
Sewer & Water Permit Fee j $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BuildllH! Uniclal
Dak
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 certlty that the request m the above applicatIon and accompanYlllg documents is 111 accordance with the City Zoning Ordinance Jnd may proceed as requested ThiS document
when signed by till' City Planner Cllnstltutes a temporary Certiticate of Zonll1g compliance and allllws CllnstruCllnn tll commence Befme llccupancy, a Certlticate llf Occupancy musr be
issucd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372