HomeMy WebLinkAboutBuilding Permit 07-0203
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY Cn'iNRCTION PERMIT
Date Rec' d
4-. /l.. () 7
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07. DZ Q3 I
(Please
ADDRESS
n at bottom)
ZONING (office use)
't/3b5
Sp.1rJ
1/1
JJ6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-C;- LI4- /)4S- 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name) .- II;'"
66tfL/
Lt
J ~kY{C/~5
(Address)
NG
(Phone)
(Phone)
Ie",
y?Z - ~~4'
~34K
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~e-Siding OLower Level Fimsh 0 Fireplace
DAdditlOn DAlteration DUtiIity ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I ~/~)O
that 1 11< l' hlf lshcd infOrmatIOn on this application which is to the best of my knowledge true and correct. I also certify that I am the OWI1LT or <lutlwnzed agent for the
Ty a that all constructlUn will contl1rm to all cXlstmg state and local laws and Will proceed m accordance with submllted plans am aware that the buildrng
c:~:I::,:Furthermore. I hereby agree that the City official J)J a ~eslgn/5a.rz;5~n the propeny to pertl)rm nee~-I /'"i.lnS
Omtractor's LiCense No Date
x
Permit Valuation
Park Support Fee
#
#
$
Illllldlllg Ortlclul
Date
Water Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Permit Fee
Plan Check Fee
State Surcharge
Penalty
, Plumbing Permit Fee
~echal1lcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
$
$
$
$
$
$
I $
$
SAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
SJ;;.
ThiS IS to certify that the request in the abuve applicatlon and accompanYlllg documents is in accordance with the City Zoning Ordinance and may proceed as requl'sted ThiS document
when signed by the City Planner constItutl'S a temporary Certificate of ZOlllllg complIance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
),ssllcd
Planning Director
Special Conditions, if any
Date
24 hOllr 1I0tice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372