HomeMy WebLinkAboutBuilding Permit 07-0603
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CITY OF PRIOR LAKE RUILDINC IlEUMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
III~I
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LEGAL DESCRIPTION (office use only)
ILJ D (/;)6-
BLOCK 2 ADDITION 00
OWNER
(Name) e:, ~ t ;
(Address)
L/kJ:)QUv\ f-
t,......ICI~~ L.7l-f~ t-f,
nate nee \ J
I White
Pink
Yellow
I PERMIT NO.
File
City
Applicant
07 "'~o3
5'&-.
ZONING (office use)
(L-(
PID ZS- . 2ti9 ,-0
-0
(Phone)
~6' .
BUILDER J
(Company Name)_--f!'1~-h-k Co..... "j ~ vv1-t'VV'\ r IV L.
(Contact Name) V~ fvt:J -hc/c..-o
(Address) <7 ~ "7 eJ.,..z a. 1. c....v. ~eI" ~O'~ / cf
(Phone) q ~~ol . G. c:. ~J. -;; I 5- s-
(Phone) <7 )'r:J ~....1 Va ~ 7 '8 '---
Yvt,... _ S-- s-o 5~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing I3Re-Siding OLower Level finIsh 0 Fireplace
OAddition OAlteration OUtihty Connectlon
CODE: ~.R.C. OLB.Co o Mise. f....c.--/. ,""..Q v __ ~.
Type of C stmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U
Division: I 2 ~ 4 5 (excluding land)
I hereby (('nity that I have hlrnishcd Information on this application which is to the best of my knowledge true and COlTect. I also certify that I am the owner or authOrIzed agent for the
Jbove~mentl()ned property and that all constructIOn Will confiJrm to all eXlstmg state and local laws and will proceed m accordance with submItted plans I am aware that the buildmg
official can revokc ,p mlt till Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propeny to perform needed mspectlOns
X ]:), (;0 ~ d- 0 d B-r; 81f C /~I 0,
~gnature Contractor's License No, late
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
1-
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7~, -
Paid
Date
7~1
7 I // , &1
I ~~ceiPt NO~~~ 7
ThiS IS to certify that the requl'st In the abuvl' application and accompanymg documents is in accordance WIth the City Zoning Ordinance and may proceed as requested TillS document
\l,'hcll signed by the City Planner constItutes a temporary Certificate uf ZOl1l1lg compliance and allows construction to commence Beflne occupancy, a Certificate of Occupancy must be
issllcd
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