HomeMy WebLinkAboutBuilding Permit 07-0331
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
ADDRESS
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~vKv '-l-~ Dr,'W-
Date Rec' d
5. I+,OJ
I White
Pink
Yellow
I PERMIT NO. 07.033 J I
file
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ,S"". 5/ l,.'. 002.. . 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
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Jv10t f~
I,J
(Address)
~
:.J- VI (' .
(Phone) 76~ - (j27 - 96q b
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch e-Roofing
DAddition DAlteration o Utility Conne tlOn
DLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.C. o Misc.
Type of Constnlction: 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 tUfmshcd mformatwn on this applicatIOn which IS to the hest of my knowledge true and correct I also certify that I am the owner Of authOrIzed agent for the
abllve-mentwned property and that all nInstructlOn wdl Cllnform to allexlStIng state and local laws and will proceed In accordance with submllted plans. I am aware that the buddIng
llttiClal ca oke tlm pel mil fm Just cause FlIIthelmOle, I heleby aglee that the City offiCIal or a deSignee may enter upon the plOpeny to perform needed InSpectHlns
X .. L.-..... , (~ s-Ayft'"7
Stgnature Contractor's Llcense No " Ifate
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
llurldll1g Ofllclal
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
ThiS IS to certify that the request In the above application and accompanYll1g documents is In accordance with the City Zoning Ordinance and may proceed as fequested TillS document
when signed by the City Planner constltlltes a temporary CertIficate uf ZOI1l1lg compliance and allows construction to commence Before occupancy, a Certificate DfOcclIpancy must be
issued
Planning Director
Special Conditions, if any
Date
2.. hour notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake. MN 55372