HomeMy WebLinkAboutBuilding Permit 07-0447
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
r:;, /<;;/0 7
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 "/ -C'-{l( 7 I
(Please
ADDRESS
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER~ ~.... J
(Name) 7/4T ~ , I ~'fE'L/
Lc:JA.J t9f 6 A-1A1
(Phone)
~/-~-fl..
i BUILDER
I (Company Name)
I
I (Contact Name)
9..sd;'-41hJ~~
(Phone) ~d?- d~ ~~ 9~/
?/?~ F
(Address)
~h7. -
~
TYPE OF WORK 0 New Construction ODeck OPorch
DAdditlOn DAlteration DUtility Connec
ORe-Siding OLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.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
I hereby certify that 1 have furmshed mformatlon lJll this applicatwn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent t~)f the
abllve-mentlOned property and that all struction Will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
official can revoke Ihls permit Ill. st cause < rthe. re, I hereby agree that the City nfficiallll a deSignee may enter upon the propeny to pertllrm needed mspectHlns
c::ros-9~&'~3 ~~-S--6;L
,
x
~
Contractor's License No.
Date
Plan Check Fee
State Surcharge
Penalty $
, Plumbing Permit Fee $
~echanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
--
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connectlon Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 76_00
Permit Valuation
Permit Fee
This Application Becomes Your Building Permit When Approved
I~,ur~ ~~!07
I Pa>d j~G,.OO
Date . c:; ( 01
,
Receipt No. $3tf7 9'
~
By
ThiS IS to certify that the request in the above applicatIOn ':lOd accompanymg documents IS in accordance with the City Zoning Ordinance and may pnlcccd as requested ThiS dllcumcnt
when signed by the CIty Planner CllnstllUles a temporary Certlticate of ZL1I1lJ1g compliance and allows construction to commence Before occupancy, ,\ CertlfLcate of Occupancy must be
issued
Special Conditions. if any
Planning Director
Date
24 hour notice for all inspeetious (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372