HomeMy WebLinkAboutBuilding Permit 07-0559
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CITY OJ( PIUOU. LA.KE RUILDINC PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
? Z-~ t~7
White
Pink
3 Yellow
File
City
Applicant
(Please
ADDRESS
at bottom)
PERMIT NO. tJ7 c.S57
ZONING (office use)
/7/1
.{;, r- cl
/3/vd.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
D /711/ 1;5 .oIL t.1n /tJe4:.J'7
-
(Phone)
(Address)
BUILDER
(Company Name) r/t),..." ESenp ~
(Contact Name)
(Address) cl~/~' It.S77r ~s:r:
_I '-IV /t (;.:.6
(Phone) 7<::;;;;'"$ - s~'F../S-2J
(Phone)
s.e.3' Y
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditIon OAlteration OUtility Connection
e-Siding OLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.C. o Misc.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certity that I have hJrlllShed IOformation on this applicatwn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent tor the
.lbove-mentlllned property and thai all Cllnstrllctwn Will conform to all eXlstmg state and local laws and will proceed in accordance with submltted plans. I am aware that the blllldmg
nftkial can rev kc thlS permit for Just call F crmorc, I hereby agree that the Clty official or a deSignee may enter upon the propelty to pert(1rffi needed mspcctHJI1S
7-2-<J7
Contractor's License No.
Date
Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
$
$
$
Iluildlllg Urtleial
Date
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Plan Check Fee
State Surcharge
Penalty
. Plumbing Permit Fee
~echamcal Permit Fee
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
ThIS IS to certify that the request In the above applicatIOn and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested TillS document
when Signed by the City Planner cunstltutes a temporary Certltlcate of Zonmg compliance and allows construction to commence. Before occupancy. a Certlticate of Occupancy must be
)ssucd
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