HomeMy WebLinkAboutBuilding Permit 07-0584
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ADDRESS
Date Rec 1 d
CITY OF PRIOR LAKE DUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
Ili.)/-;~ ,-./10('. /
KGI
White
Pink
Yellow
I PERMIT NO. tJ 1-~B 4J
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (ottice use only)
LOT B BLOCK ADDITION
OWNER
(Name) .~
(Address) /~I .s--J
BUILDER
(Company Name)
(Contact Name)
(Address)
Z,(j
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A! .
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(Phone)
Kc./
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cf9Y-
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TYPE OF WORK 0 New Construction ODeck Porch ~e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlterallon o Utility ConnectIOn
CODE~.R.C. OLD.C. o Misc
Type of onstruction: I II III IV V A B ~ . ~.,-.
PROJECT COST IV ALUE $ /" 0: c:..:..:u -
Occup cy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby ccrtity that 1 have hlfnished InformatIOn nn this application which is to the oest of my knowledge true and COITect I also certify that I am the owner or authorIzed agent for the
,1bllvc-mcntHlned property and that all Cllnstructllln will conlllTm to all eXlstlOg state and local laws and will proceed 10 accordance with submItted plans I am aware that the blllldlOg
nfflcial can r' T thlS permlt for Just cause 'rthermore, I hereoy agree that the CIty official Of a deSIgnee may enter upon the propeI1y to perform needed Inspections
__~_......~, ,.?()</ S ',-,~;(. "7 ~ "7 ~ 7'i 7
Signature Contractor's License No. ~ate
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
, Plumbing Permit Fee
~echal11cal Permit Fee
Sewer & Water Permit Fee
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit 1 $
Other $
TOTAL DUE $ ,Co-
\
1rs-]01
I Receipt No. S 1"017 I
By f4Jt1 -
Paid
Date
ThIS lS to certify that the request In the above applicatlOn and accompanYll1g documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the Clty Planner Cnl1stltutes a H:mporal)' Certificate of ZOl1lng compliance and allnws construction to commence Before occupancy, a Cerufi.cate of Occupancy must be
Issued
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