HomeMy WebLinkAboutBuilding Permit 07-0673
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I PERMIT NO. 07 ~ I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellm\/
File
City
Applicant
(Please
ADDRESS
n at bottom)
L-6'fVl (,.e:y
S3/b
(5/ Ie (!,L.&'
Date Rec' d
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
L(/~ ~/J ~q
t- -i' 1>1 f.-
(Phone) _( f1SJ) C(tf7- JO/
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch
OAdditlOn OAlteration OUtility Conne
e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.C. o Mise.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
'd mformatinn 01 his application which 1$ to the best of my knowledge true and correct I also certify that 1 am the owner or authorized agent for the
III COnflJrm to all CXlstmg state and local laws and will proceed m accordance with submllled plans I am aware that the bUlldmg
"more, I hereby agree that the CIty official or a deSIgnee may enter upon the propeIty to perform needed mspectlOns
7 -J.?-O]
Contractor's License No. Date
x
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
lluildlllg Urtlcial
Date
$
$
$
$
$
$
$
$
$
ThiS is to certify that the rcquest 111 the abovc applIcation and accompanymg documents is m accordance with the City Zoning Ordinance and may procecd as requested ThiS document
when signed by the City Planner constitutes a temporary Certificate uf Zonmg comphance and allows constructIOn to cummence. Before occupancy, a Certificate of Occupancy mllst be
Isslled
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) .t.t7-9850, fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372