HomeMy WebLinkAboutBuilding Permit 07-0333
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
)< 1'1 () 7
( Please
ADDRESS
n at bottom)
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1 White
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File
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Applicant
I PERMIT NO. 61. 0333 I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z S. 3', & . UO J c)
OWNER
(Name)
(Phone)
(Address)
.:t:h~.
(Phone) 7b3-t.;2'7-9b 96
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
DAdditlon DAlteratlon DUtility Connectlon
CODE: DI.R.C. DI.B.c. o Mise -----".~-
Type of Construction: 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 l have h.lrOlshctt mformatlOI1 on this application which 15 to the best of my knowledge tfue and COITect I also certify that I am the owner Ilr authorized agent for the
ab<1vc-mentlOned pr<1perty and that all cllnstruction wdl conform to all exrst10g state and local laws and Will proceed 10 accordance with submitted plans I am aware that the buddmg
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Signature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
[" Plumbing Permit Fee $
I
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Buildll1~ Unicial
Date
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
i1
ThiS IS tll certify that the request in the abllve appiIcatwn and accompanYll1g documents is 111 accordance with the City Zoning Ordinance and may prnceed ,lS requested ThiS ducument
\\'hen Signed hy the City Planner constitutes a temporary Certificate uf Zonll1g comphance and allows constructIOn to commence Before llccupancy, a Certificate ()fOccupancy must he
i.ssued
Planning Direetor
Speeial Conditions, if any
Date
2.t hour notice for all inspections (952) .t47-9850, fax (952) 447-.t2.t5
4646 Dakota Street Prior Lake, MN 55372