HomeMy WebLinkAboutBuilding Permit 07-0707
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CITV OF PIUOU LAKE RUILDINC PEUMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
n at bottom)
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White
Pink
Yellow
I PERMIT NO. 07. o7a7 I
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
A-c..&nr /4or=-//I(;> C ~-W1./i"OE~',16
~,;,~ ///11',) rc ;<";lHfio
G'A- I4VC /J.
(Phone)
(Phone)
76:/
'/#(A:/
v95
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
e-Siding OLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.C. o Mise
Type of Constntction: 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
x
I hereby ccrtlty that j have hlfnIshed mformatIDn on this application whIch IS to the best of my knowledgc true and correct I also certify that I am the owner or authOrIzed agent for the
Jbove-mcntloncd property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submlttcd plans. I am aware that thc buildIng
()fticial CJn r' 'C liS permit for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed InSpectHlIls
.~
~,
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ i
Tlus Application Becomes Your Building Permit When Approved
lluildll1g Um"al
Dat~
_~;1- '}-Jf' 7 "7
Contractor's License No.
7-1-0 l
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
I $
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
ThIS IS tu ccrtlfy that the requcst 111 the abuve applicatIOn and accompanYIng ducumcnts IS m accmdance With the City ZunIng Ordinance and may proceed as requcsted Tim document
when signed by the City Planner constItutes a temporalY Certificate of Zomng compliance and allows construction to commence. Before occupancy, a Certificate ofOcclIpancy must he
Issued
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372