HomeMy WebLinkAboutBuilding Permit 07-0511
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
/15711
/lJO" I'In~
d
".;;.47
] White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07- 0/,; / I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIuZ. S-~ 353. 00 L 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(l.1LlM
~Lt S p-t";'L
, <i ,
G ~/,~
(Phone)
(Phone)
qS l..-l~'z? 8:;~1
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TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing
OAdditlOn OAlteration OUtiJity Conn7'on
CODE: DI.R.C. DI.B.c. 0 Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furmshed lOfnrmauo!1 UIl this applicatlOll which IS to the best of my knowledge true and COlTl'ct. I also certify that I am the ownn or authorized agent for the
Jbove-mentlLlned property and that all constructllln WIll confllrm to all eXIsting state and local laws and will proceed in accordance with submItted plans I am aware that the budding
()tfIU,tl can I 'voke thiS pt'lffilt fOl Just cause FllltheJffiOle, I heleby agree that the cay offiCial OJ a deSIgnee may enter upon the plopelty to pt'ltOlm needed lOspectlons
X - f1 LcrZ f13 ~Rx;J, -'- - <.0 ~ ell
Contractor's Llcens~ Date
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
BuIid1l1l! Urticial
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 $
3Y()~
ThIS IS to certify that the request 1Il the above applicatIOn and accompanY1l1g documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when SIgned by the City Pl.1nncr constItutes a templlralY Cerl1flcate of Zoning complrance and allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372