HomeMy WebLinkAboutBuilding Permit 07-0412
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ 30. () 7
File
City
Applicant
I PERMIT NO. 07 04-/2- I
I White
Pink
Yellow
n at bottom)
ADDRESS
~);1//l/fO /L/
etK-
53/2..
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS-. /87. 069.0
OWNER
(Name)
(Phone)
(Address)
(Phone) b/~ - ~~..///?
(Phone)
S~3~
waDffi ,J
(Company Name) 1-/-:>"..", fi>_SCq{!<_ /:?u. j/a.,,~'
(Contact Name) '-75&'" Lkge;"c.............
(Address) j.;'-./t :/?S+ h 5"~/; S/
~J-C-
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility ConnectIon
e-Siding OLower Level finIsh 0 fireplace
CODE: DI.R.C. DI.B.C. o Mise
Type of Constmction: I II III IV V A B PROJECT COST /V 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 I have Iurnlshed information on thiS applicatIOn which IS to the bcst of my knowledge true and correct. I also certify that I am the owner or authollzed agent tor the
ab<lve-mentHlned property and that all C<lnstructHln will confnrm to all eXlstmg state and local laws and WIll proceed m accordance with submItted plans. I am aware that the buildmg
(lffkial can revoke thIS permit for Just llUSt.' urthcrmorc, I hereby agree that the City official or a deSignee may enter upon the propel1y to perform needed mspccthllls
Signature
:206~t;; en -?
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8", 1";
State Surcharge
Penalty
Plumbing Permit Fee
Mechal1lcal Permit Fee
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Y OUf Building Permit When Approved
Iluildlllg Ufticlal
Datc
.y?~ 7
, rDate
$
$
$
$
$
$
$
ThiS IS to certify that the request in the above applicatIOn and accompanYll1g documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
v.'hcll signl'd by the City Planner (nI1stltutl'S a temporary Certificate of Zomng complIance and allows Clmstruction to commence Before occupancy, a Certificate {)f Occupancy must be
LIiSLlCd
Special Conditions, if any
Planning Director
Date
24 hOllr noticr for all inspections (952) .t47-91l50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372