HomeMy WebLinkAboutBuilding Permit 07-0393
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CITY OF PRIOR LAKE BUILDING PERMIT, -1> '1~ ,CO Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 5 A.. 7
AND UTILITY CONNECTION PERMIT . 2- T - ()
~.
I. White File I PERMIT NO I
2. Pink City . 0 7. (j 3 q '3
3 Yellow Applicant , '
s U~( NE
I ZONING '--l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zS-. 0$2-.008.0
OWNER
(Name)
Dcw-{,
UID
(Address)
(Address)
(Phone) qSd-. LfJ{ 5. - rr95d
DLower Level Fimsh 0 Fireplace
TYPE OF WORK 0 New Construction o Deck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: OJ.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Diyision:
J
E
n
F
I
m IV V A
HIM R
2 3 4 5
q,qoo
B
S U
PROJECT COST IV ALUE S
(excluding land)
I hereby certify that I ha~ furnished information on this application which is to the best of my knowledge tnIe and correct. I also certify that I am the owner or authonzcd agent for the
above-rncnl1oned property and that all constnlction will conform to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the building
official c revoke this p it ~ just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed lj1spections.
X ~DSg~~~ $~~~7
Signature Contractor's License No. ~
Permit Valuation
Pennit Fee $
Plan Check Fee S
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Pennit Fee $
Gas Fireplace Pennit Fee $
This Application Becomes Your Buildlnl Permit When Approyed
Buildinl!. Officiol
Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE S
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constnlClion to commence. Before occupancy, a C~-rtiflcate of Occupancy must be
issued
PIanning Director
Date SoeciaI Conditions. if any
24 hour notice for an inspections (<<)!i2) 447-9850, fax (<<)!i2) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372