HomeMy WebLinkAboutBuilding Permit 07-0639
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 7/2.. 31 07
White
Pink
Yellow
File
City
Apphcant
PERMIT NO. 07 - O"S7'
ff20ST
Po I l\Ji
C,~.
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
;t{,NH
(Address)
QUAN
6 I 2 - 2 l( ')- - 2D ,'(..
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
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~Otv(P\N
FALco/v [lv!
'lftfUvf..t1 j.(.0VtcH
7(3. l.tl)- g L?5'S-
<;1'l~E
(Phone)
(Phone)
TYPE OF WORK D New Construction
DAdditlOn DAlteration
DLower Level Finish D Fireplace
CiA LTv< RED
5 TO.V c;.
CODE: J:!LR.C. OLB.C. ';gf Misc.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
{I,OOL>
I hereby eertity that I have hlrmshed mformatlon on this applicatIOn which IS to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent tllf the
Jbnvc-mcntlOl1ed prop' and that all cunstructlOn will conform to allexlstmg state an<Vl.ocallaws and will proceed in accordance with submltted plans I am aware that the ouildmg
offiCial can revoke thY; per It till Just cause Yur7'rmo\"fhereby agree th! the c7''ficia1 or a deSignee may enter upon the property to pert()rm needed mspectlons
X F C~U~ t."- V ( a /l.u.tl kuc..! {~ , "J /2 ~ / c ~
Signature Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
#
#
$
$
$
$
$
$
$
$
$
SAC
Water Meter Size 5/8"; I";
-
$
$
$
$
I $
$
\ . 'Z-5"
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~~
1 Ilurldlllg Uffleial
7/'1...::5 (0 ?
Date
TOTAL DUE
ThlS IS to certify that the request in the above applicatIOn and accompanYlllg documents IS in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes a tcmporalY Ccrtifkate of Zomng compliance and allows construction to commence. Before nccupancy, a Certlficate llf Occupancy must be
tsslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any