HomeMy WebLinkAboutBuilding Permit 07-0445
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ .5. 0 7
File
City
Applicant
I PERMIT NO. 07,()H--S
White
Pink
Yellow
(Please
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
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ZONING (office use)
(Phone)
q s' 2- - 2 2- t- .- '3 8"2 7
(Address)
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TYPE OF WORK 0 New Construction ODeck OPorch ~Re.Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OLR.C. OLB.C. o Mise.
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $ .~ l-t'z,
Occupancy Group: A B E F H I M R S U ,
Division: I 2 3 4 5 (excluding land)
I hercby certify that I have hlrnlshed Information on this application which is to the best uf my knowledge true <Ind cOlTect. I also certify that I am the owncr Dr authorized agent for the
,111llve.mentlllned property and thai all constructllln will conli>rm to all eXlstrng state and local laws and will proceed rn accordance wilh submitted plans I am aware that the buildrng
nth"a! can revoke 11m permit tmlUS! cause ~LIlthClmme, I h~rebY agree that the elty ~tfiClal or a de~nee may cn~er ~pon the plOpeny to peIiOlm needed rnspectl<ms ,
X fCP J!.1tL:;. 0r/C ~~ ,~ it )V. j3C 26 sC; (0 ---./...;, - <) _~__
Signature Contractor's License No. .---..mrc"'-.......,
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Pressure Reducer
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water ConnectiOn Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Buildlll!! Unicial
Date
$
$
$
$
$
$
$
$
$
ThiS IS to certify that the request in the above applicatIOn and accompanymg documcnts IS in accordancc with the City Zoning Ordinance and may proceed as requested ThiS dllcumcnt
v.'hen signed by the City Planner constitutes a temporary Certificate of ZOl1lng compliance and allows constructIon to commence. Before occupancy, .1 Certificate of Occupancy must be
i.\SllCd
Planning Director
Date
24 hOllr notice for all inspections (952) ~~7.985(). fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any