HomeMy WebLinkAboutBuilding Permit 07-0670 (2)
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CITY OF PRIOR LAKE RUILDINC PEllMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
lJ9te 11e(' J J
-7 z~. 07
File
Cily
Applicant
I PERMIT NO. O"! o&; 7 ~
White
Pink
Yellow
n at bottom)
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:il/1 s-: L~ C-fL '- <;;" IA./
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
?A2..f!~e
s: A..~ LI5
c.,,a-
>111
d:x
(Phone) ,,"("L. - ~ '10 -"l , 2-1
,c..L $" ~
(Address)
-,. BUILDER
I (Company Name)
I
(Contact Name)
(Address)
S::~E
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditIon OAlteration o Utility Connection
ORe.Siding OLower Level Fimsh 0 Fireplace
~~jJ L.....c.u ~ -.::::r- ~ ~ ~ ~ S"
CODE: DI.R.C. DI.B.C. ji(Misc.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
x
I hereby certity that I have hllntshed mformatlOn on this applicatIon which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent tlll'the
above-mentioned property and that <Ill constructIOn Will conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
nftkial can [evoke thiS permlt for Just en'by agrc that the )ftlcial or a deSignee may enter upon the prOpclty to perform needed lOSpCCtlOllS
ignature
Contractor's License No.
Permit Valuation
Park Support Fee
#
#
Permit Fee
$
$
$
$
$
$
I $
$
SAC
Plan Check Fee
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
TOTAL DUE
7-z..~-IZ__
ate
$
$
$
$
$
$
$
$
$
Paid
Date '712.(,101
( t
I Recei~~ No. )-1 )..6y
. By flD
Thls IS to certify that the request m the above applicatIOn and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed ilS requested ThiS document
when signed by rhe Ctly Planner constItutes a temporary Cerllticate of Zonmg compltance and allows constructIon to commence Befme occupancy, .1 Certlticate of Occupancy must be
i.sslIed
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any