HomeMy WebLinkAboutBuilding Permit 07-0457
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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White
Pink
Yellow
I PERMIT NO. 07, 01-571
File
(jty
Applicant
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
ZONING (officc usc)
PID 2S
.02.5.0
(Phone)
(Address)
BUILDER I "
(Company Name) 7Jff wr~/J1/fSJ7i. t(
(Contact Name) (,11--4-O!J -:to f'I-' SCJ tV'
(Address) <70 q ( ~A-tfi0~.e..D /tVE. ~ .
c
f1p ). :Z-;v c.
~{Z- 7'(,/~)..r7J
(Phone)
(Phone)
j::f" r;lo :1 7 I
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddltlOn OAlteration OUtility ConnectIOn
CODE: OLR.C. OLB.C. o Misc. ~
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $ ~O 0-0
Occupancy Group: A B E F H I M R S U (excluding land) I I
Division: 1 2 3 4 5 I
I hereby ccrtlty that I have hlfnIshedmtormatHln lln this applrcal10n which IS to the best llf my knowledge true and CllITeet. I also certify that I am the owner or authonze,l agent for the
ahovc-mcntlOlll' ) l'l d that all Clmstrllction will conform to all existmg state and local laws and will proceed in accordance with submItted plans_ I am aware that the btllldmg
~liClill can revoke mlt ( ust cause Furthcrmore, I hereby agree that the city official or a deSignee may entet upon the propeny to perform needed I~el~ 10 7
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 $
This Application Becomes Your Building Permit When Approved
llllllthng Otflclal
Date
I ThIS IS to certIfy thilt the request III the above applrcalion and i1ccompanYll1g documents IS 111 accordance with the City Zonlllg Ordinance and may pruceed as requested TIllS document
I when Signed by the City Pl.lI1nef Cllnstltutes J temporary Certificate of Zomng compliance and allows ClmstructlOn to commence. Before occupancy, a CertIficate of Occupancy must be
I ISsued
,
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7 h. 0 ()
5J~b e....-
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372