HomeMy WebLinkAboutBuilding Permit 07-0505
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
&. /9. 01
I. White File
2. Pink City
) Yellow AppIicalll
I PERMITNO.CJ?_O..50s-1
I ZONING<__> I
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
PID Z<;-. o9~, .037. ()
I~=
(Address)
1(~:v~ L i~A
"F-f~nt,
(phone)
TYPE OF WORK. 0 New Construction ODeck OPorch l2tRe-Roofing ORe-Siding OLower Level Fintsh 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
TypeofC~on: I
Occupancy Group: A B E
Division:
n
F
1
m IV V A B
HI MRSU
Z 3 4 5
PROJECT COST IV ALUE
(excluding land)
s 1,~L40.
,
x
I hereby certifY that I have furnished information on this application which is to the best of my knowledae true and correct. I also certifY that I am the QWIIer or authonzcd agent for the
above.menboned and that aU c ction will conform to aU existiDi state and local laws and will proceed in acronlance with submitted plans, I am aware that the building
official can revoke permit for . t se Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspcctions.
'L 6L-\ X \ \ 'L \ \ o-l Cl- 0 I
Ignature Contractor's License No. om
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer eft Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your Buildinl Permit When Approved
Date
Building Official
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer S
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit S
Other $
TOTAL DUE S '71n () t)
I P 'd
D~te
-~~ -
../fv7
~NO. Sf-a 'I
B /
.
ThIS IS to certifY that the request in the abow application and aa:ompanying documents is in accordance with the City Zoning Ordinance and may proceoed as reqUl.'StCd, This document
when siglK.'d by the City Planner constitutes a temporary Certificate of Zoning compliance and aUows construction to commence. Before occupancy, a ClTtiflCatc of Occupancy must be
issued
P\anning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372