HomeMy WebLinkAboutBuilding Permit 07-0608
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
(Please
ADDRESS
Ilf'll?
~~,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO.7 - &08
ZONING (llffice use)
OWNER
(Name) A;c.K 1 rW <2M/I1~/c/-/
(Address) j".4ttt [
(Phone) ~~-::7S ::i-Or 7s-1
i BUILDER
I (Company Name) ::;1/1/1/11 ZA2M)& c:C)lUSr:
i (Contact Name) :s /10."u -5 f/h/t4fRIN ()
\ (Address) lf3J >oufH Sv rf(!).AJ LA f<:f 6L VA ..
,
(Phone) 9-;- d -;;, 9;;l - S-,g&
(Phone)
\.TOtJiAp- r AA IU
TYPE OF WORK 0 New Construction ODeck OPorch ~Re-Roofmg ORe-Siding OLower Level Fimsh 0 Fireplace
OAdditlOn OAlteration OUtility Connection
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
2 3 4
A
R
5
PROJECT COST IV ALUE $
(excluding land)
o Misc.
B
S U
9CXJO~
6 r (
I hercby certify that I have hlfOlshed mformatlon on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Dr authOrized agent for the
abllve-mentlllned pwpcrty and that "II Cllnstrllctllln Will wnf(Jrm to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
otflclal can revoke t t fo agree that the CIty official or a deSignee may enter upon the propet1y to perform needed mspectHJns
-- ~)co99?7~~ _2./1Yo'7_
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee $ i
Becomes Your Building Permit When Approved
7 J It( ~))c
Park Support Fee # $
SAC # $
Water Meter Size5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 7600
Paid
Date l~l 07
~NO.S-4l"
ThiS is to certify that the request m the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed hy the City Planner constltlltes J temporary Certificate of Zonmg compliance and alluws cunstructlOl1 to commence. Before l)CCUpancy, a Certificate l)f 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