HomeMy WebLinkAboutBuilding Permit 07-0416
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Occupancy Group:
Division:
A B E
F
I
H I
2 3
M R S U
4 5
(excluding land)
I hereby (l'nit).' that I have turmshed mformation on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorIzed agent for the
abow-mentlOned property and that all constructIOn Will cont(,rm to all eXlstlOg state and local Jaws and WIll proceed in accordance with submItted plans I am aware that the btllldlOg
official can reVl - tl115 permll for Just calise Furthermore. I hereby agree that the City official or a deSignee may enter upon the propel1y to pert(lfm needed IOSpec110ns
X .""' ~ 0 /(C~~~~~censeNO -S/3Lldl-
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
I Plumbing Permit Fee $
I
~echal11cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Urtlcial
Date
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 certify th;lt the request in the abl>ve application and accompanymg documents IS m accordance with the City Zoning Ordinance Jnd may proceed as requested. ThlS document
v,'hl'n signed by the CIty Planner constItutes J temporary Certificate of Zonmg complIi1l1cl' and allows construction tl) commence Bcfnre occupancy, .1 Certificate of Occupancy must be
)sslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (9S2) 447-98S0, fax (9S2) 447-424S
4646 Dakota Street Prior Lake, MN 55372