HomeMy WebLinkAboutBuilding Permit 07-0348
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s-. /b.67
File
City
Applicant
I PERMIT NO. 07 03~
White
Pink
Yellow
/4--70/
Cft~ a-.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID z.. S-. Z 8 4-. 0 0 8. 0
BLOCK
OWNER
(N ame)
(Phone)
(Address)
/V;r- .::::r1VC-
TYPE OF WORK 0 New Construction ODeck OPorch
OAddItlOn OAlteration o Utility Conn
~;Z/ 9
ORe-Siding OLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
1 hereby certify that I have hlrmshcd information on this application which IS to the best of my knowledge true and COlTect I also certify that I am the owner or iluthorIzed agent for the
.lb<lVC-mentllloed property an that all c< ICtlOO wdl coof(lIm to all eXistIng state and local laws and Will proceed in accordance with submitted plans I am aware that the buddIng
offl" -evoke tlm pel for Just c Furthermore. I hereby agree that the City official or a deSignee may enter upon the propelty to perf(lIm needed Inspections
6-16-o~r
Date
x
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
$
$
$
$
$
$
I $
$
TOTAL DUE
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
~echanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Buildlllg Ufflcial
Date
$
$
$
$
$
Tim IS to certify that the request III the above applicat1l1n and accompanYIng documents IS In accordance with the City Zoning Ordinance and may proceed as requested Tim document
when signed hy the City Planner constltutcs J temporary Certiflcilte of Zomng compliance and allows construction to commence Before occupancy, a Certificate ()r Occupancy mllst be
j,\slIcd
Special Conditions, if any
Planning Director
Date
24 hour noticr for all insprctions (952) ....7-91150. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372