HomeMy WebLinkAboutBuilding Permit 07-0500
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
5{v34
Date Re~
t. It_v /
I White
Pink
Yellow
I PERMIT NO.
File
City
Applicant
()7.00U4
s-;,
ZONING (office use)
Uz:;>~fV f'7) 0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
OWNER
(Name)
PID
';::;, Z39 0/
o
(Address)
TYPE OF WORK 0 New Construction
DAdditlOn DAlteration
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
~
(Phone)
(Phone)
fyi, ~-H2L
OLower Level Finish 0 Fireplace
o Mise.
B
S U
PROJECT COST/VALUE
(excluding land)
$
malion on this applicatIOn which IS to the best of my knowledgc true and correct. I also cerlify that I am the owner Dr authollzed agent tor the
'-mentIOned properry and th Cl nstructlOn will contlJrm to all eXlstmg state and local laws and Will proceed in accDrdance with submitted plans I am aware that the buildmg
JUS C 11 L' Furth' -c, c y agree that the CIty official Dr a deSIgnee may enter upon the prope11y to pcrf()rm needed lIlSpectlons
;lzrJfrt7(1 /Plg-IO?
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
I Plumbing Permit Fee $
I
Mechal11cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
13ui!dlll!! Ulliclal
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 $
ThIS IS to cenity that thL' request 1Il the above applicatwn and accompanY1l1g documents is 1I1 accordance with the City Zoning Ordinance and may prDceed as requested ThIS document
when signed hy the City Planner constitutes a temporary Certiticate of Zonll1g compliance and allows CllnstructlOn to commence. Before occupancy, a Cemticate of Occupancy must be
isslIed
Planning Director
Special Conditions. if any
Date
24 honr notice for all inspections (952) .t.t7-9850. fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372