HomeMy WebLinkAboutBuilding Permit 07-0332
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
<;".I{I?
n at bottom)
(Please
ADDRESS
({irtVlew
.Dv-,' ~
102-h'-l
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 01,
63 ?zt-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID 2.. r. 31 & . 0:5:3 . ()
(Phone)
(Address)
~('.
(Phone) 76~-<l27. 9696
C~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAdditIon DAlteration DUtility ConnectIon
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
I
E
o Mise.
B
S
$
PROJECT COST IV ALUE
(excluding land)
U
I hereby certIfy that I have hlfnIshed Information on this application which is to the best of my knowledge truc and correct. I also certify that I am the owner O!" authOrized agent for the
abllvc-mcntwned property and that all Cllnstructwn will confLlrm to all eXistIng state and local laws and WIll proceed In accordance with submitted plans I am aware that the blllldIng
()rticial ca vo l' thiS petmlt tOt Just cause FlIlthctmOle, I heleby aglee that the CIty offiCIal or a deSignee may enter upon the ptOpclty to peItorm needed lOspectlOns
X ~ S-d~~?
Contractor's License No I' [fate
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
j Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildll1~ UfIicial
!late
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other
ThIS IS to certify that the !"equest 111 the ab()Vl' applicatlon and accompanymg documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested. ThlS document
v,'hcll signed hy the City Planner constitutes a temporal)' Certiticate of Zonll1g compliance and allows construction to commence. Befo!"e occupancy, a Certlfi.cate of Occupancy must bc
issucd
Planning Director
Special Conditions. if any
Date
24 hour notire for all inspertions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372