HomeMy WebLinkAboutBuilding Permit 07-0587
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
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Date Rec' d
7 1. C/1
I White
Pink
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I PERMIT NO. tJ7 (..lSTl
File
City
Applicant
ZONING (office use)
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PID Z~. 13]. ObLO
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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(Phone)
(Phone)
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9 5.:J. -1.Js;). - II S3
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAdditlOn DAlteration DUtihty ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
II
F
I
III
H
2
IV V
I M
3 4
I
E
A
R
5
OLower Level Finish 0 Fireplace
o Misc.
B
S
PROJECT COST/VALUE
(excluding land)
$
U
I hereby certify then I have hlrmshed mformatllln on this applicatllln which IS to the best of my knowledge true and correct. I also certify that I am the owner or authollzed agent 1,)r the
above-mentIOned property and that all wnstructllln will contlJrm to allexlStmg state and locallaws and wi1J proceed in accordance with submitted plans. I am aware that the bU1Idmg
offICial can revoke thlS perm JU t cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the prope11y to perform needed lJ1spectlons
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
BUlldnl!! UnlClal
!)at~
7- 9-01
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 $
TOTAL DUE $
Thls IS to certify that the request in the above appJicatlOn and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requcstcd ThiS document
when signed by the City Planner conStltutes a temporary Certificate of Zonll1g compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372