HomeMy WebLinkAboutBuilding Permit 07-0674
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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)
4&07
(;vE~coOr-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
7 L70 7
I White
Pink
Yellow
I PERMIT NO. 07. o(P74-1
File
City
Applicant
t/K-. .
ZONING (office use)
PID 5. l/'l4-. 0,;'
o
(Phone)
(Address)
BUILDER r2.0A (Q 0./
(Company Name) r::/F..:ItD......:::> f'..C!t!)F//V G--
(Contact Name) ~'V
(Address) '~~JO e-P-OW,v H-/~L
a.-r
(Phone) (01;).- 83q- 7S?5
(Phone)
V/~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
o Mise.
B
S U
$
PROJECT COST IV ALUE
(excluding land)
I hereby certify that l have hlrmshcd mformation on this application which is to the hest of my knowledge true and correct. I al."il) certify that I am the owner Of authOrIzed agent for the
Jbnve-mentlOl1cd property and that all construction will conform to all eXlst1l1g state and local laws and will proceed 111 accordance with submltted plans_ I am aware that the buildIng
'~liClat can re~lS pel clr Just use Furthermnre, I hereby agree that the City officiator a deSignee may enter upon the propel1y to pertorm nee; :s;"7....0 7
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
i
! Plumbing Permit Fee $
frvtechamcal Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ i
This Application Becomes Your Building Permit When Approved
llllildlll~ Orticlal
Date
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$
ThlS lS to eernty that the request Il1 the above app"catlOn and accompanYll1g documents lS m accordance with the City Zoning Grdmance and may proceed as requested ThlS document
when signed hy the CIty Planner (nl1stltutcs a temporary Ccrtitkate of ZOlllng compliance and allows clmstruction to commence. Before occupancy, a CCftltkatc llf Occupancy mllst be
L"isued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) -1-17-9850, fax (952) -1-17--12-15
4646 Dakota Street Prior Lake, MN 55372