HomeMy WebLinkAboutBuilding Permit 07-0448
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\ ' \~- :rf\5PZ~(C)\
Date Rec' d
I. White File
2_ Pink City
J Yellow Appliant
to/~(07
I PERMIT NO. 07-0 wEI
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
bnJu_ r-~(\
L(:cw\ DLtCK
TYPE OF WORK 0 New Construction ODeck o Porch
OAddition OAlteration OUtility Conne
CODE: [){x.R.C. OI.B.C.
Type of &stmction: I II ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
~-ddLo-S\CO'
e.Roofing ORe.Siding
o Misc.
o Fireplace
PROJECT COST /V ALUE S
(excluding land)
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I
I hl-reby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above. mentIoned property and that aU constrtlClion will conform to all existing state and local laws and will proceed in accordance with submitted plans. ~ am awate that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the CIty offkial or a designee may enter upon the property to perform necded mSJlCClions.
X lJ\)J.v q, G \\\.Q UL/'- ~ cr53 \ YC:::d \ 071/3/loB
Signature Contractor's License No. Date
..
Permit Valuation '1(2500,00
Permit Fee S 7 '-I. 7S
Plan Check Fee S - ~
State Surcharge S II z.S"
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee S
Application Becomes Your Building Pennit When Approved
~I-' C(cc/o 7
Date
Park Support Fee # $ I
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit S
Other $
TOTAL DUE S 7~. oa
I Paidi:{ ~.. 0 Q
Date ("S/o 7
I ~ceiP~. 3crzro
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate <>f Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (9!12) 447-98!\O. fax (9!12) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372