HomeMy WebLinkAboutBuilding Permit 07-0405
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
..- 25 07
-~. .
n at bottom)
WIt/I- {; vv' L--/ttJt5
ADDRESS
/u9/3
White
Pink
Yellow
File
City
Applicant
[ PERMIT NO. () 7. o40sl
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNERd_-
(Name) _\~ 0;-- \CJ..,..........
----::::> ~
\ C>....." ~f-
(Phone) ~5 ~ - y ~\ ~ - S';)'""l
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Con
ORe-Siding
OLower Level Finish
o FIreplace
e-Roofing
cllon
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: 1 2 3 4 5
I hereby certify that I have turmshcd mformatlOI1 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
abLlve-mcntwned property and that all CLlnstructwn will confurm to all eXlstmg state and lLlcallaws and will proceed m accordance with submllted plans I am aware that the bUlldmg
Lllrlna! can rev".](<;thrs permit for Just cause Furthermore. I hereby agree that the City Lltrlcial or a deSignee may enter upon the propeJ1y tLl pert(lrm needed mspecllLlns
'-V - ._'?
X~'---.., - ------
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
:
I Plumbing Permit Fee $
~echanical Permit Fee I $
Sewer & Water Permit Fee I $
:
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
J>lIlldlll~ Urtlcial
Date
s-~s--c>(
Contractor's License No. 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 that the request In the abllve applicatllln and accompanYll1g documents is in accordance with the City Zoning Ordinance and may pn)(ccd .1S requested TillS document
\\'hen signed by the City PL:lnner Cllnstltutcs a temporal)' Certificate of Zomng compliance and allows construction to commence Before occupancy, a Certlficatc of Occupancy must be
Issued
Planning Direclor
Special Conditions, if any
Date
24 hOllr notice for all illspectiolls (952) 447,')!l50. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372