HomeMy WebLinkAboutBuilding Permit 07-0646
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-; ZJ. 0;
LC\
we,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID G S-. sf 4- OJG. ()
OWNER
(Name)
\)A C I C\ V\ ~tyDV\ tj
L
LUl V\ .
(Address)
..
White File I PERMIT NO
Pink City . 0 7. 0 (pcr6
Yellow Applicanl ,
ZONING (office use)
(tDY ltLl<.t
(Phone)
lPLI~
C/)S.l' 1 L 4, I J 2 1-
N C;S;l7-
{ Un!
(Phone)
(Phone)
Ss S12-
~ ~ 2- 4-~' /1?'J 1
Vi ~L . 440 ' /1'17
TYPE OF WORK 0 New Construction ODeck OPorch .2JRe.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: OI.R.C. OLD.C.
Type of ConstIUction:
Occupancy Group: A B
Division:
I
E
II
F
1
m IV V A
HIM R
Z 3 4 S
B
S U
PROJECT COST /V ALUE S
(excluding land)
I bl"reby certify tbitl bive furnished informition on Ihis ipplicition whicb is to the best of my knowledge true and correct. I also certify tbat I am tbe owner or authon~ed agent for the
above-menuoned property ind thit ill construction will conform to all existing state and locillaws ind will proceed in accordance with submitted plans. I am aware Ihat the building
;cial Cin re oke tbis p~mi~ for just Ciuse. Furtbermore, I hereby agree thattbe city 0If1Ciil1.Ds4~e property to perform ne:!:f r'GCli1"lrl
Si' ature C . tractor's License No. Date
Pertnit Valliation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
.
Dale
Buildinl!. omcial
# $
# $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
This is to certify tbit tbe request in the ibove ipplication and accompinying documents i$ in accordance witb the City Zoning Ordinance and may proceed as rcqucsted. Tbis document
wben signed by the City Planner constitutes i temporary Certificite of Zoning compliance and allows consuuction to commence. Before occupancy, a Certificatc of Occupancy must be
issued.
Planning Director
Date Special Conditions. if any
24 hour notice for all Inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372