HomeMy WebLinkAboutBuilding Permit 07-0867
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f / I t/7
File
City
Applicant
I PERMIT NO. 07. fro 7
I White
Pink
Yellow
(Please type or print and sien at bottom)
ADDRESS
l V uJ,/J
ftV2;-
/&,6/3
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
PID
ADDITION
OWNER
(Name)
(Phone)
(Address)
Cf~:A.~89f -. /9/7
b/~ -;20/ -1/3~
7'
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch -Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
OAdditlOn OAlteration OUtility Conn Ion
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise
III
H
2
IV V
I M
3 4
A
R
5
B
S
I
E
II
F
I
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certity that I have furmshed mfmmallon on this apphcatllln which IS to the best of my knowledge true and correct I also certify that I am the owner m authonzell agent fm the
ab<lve-mentlOned property and that all constrllctllln Will conform to all eXIstIng state and loeallaws and will proceed m accordance with submitted plans I am aware that the buildmg
;tlClal c~~ per~~;; c~~gree that the City official m a deSIgnee may enter upon the propeny to perfilfm nec~ ;;?/.Q .7
Signature Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
#
Plan Check Fee
Water Meter Size 5/8"; 1",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
1l11lldlllg umc,al
Date
$
$
$
$
$
$
$
$
$
&.(/0
ThiS IS to certify that the request 111 the above application and accompanymg documents is 111 accordance with the City Zoning Ordinance and mil)' proceed as requested ThIS dllCUffiCl1t
when signed by the City Planner (Ul1stltutcs a temporary Certificate of Zonmg compliance and allllws construction to commence Before llCclIpancy, a CcrtltiC.ltc tlf Occupancy must be
j"ssucd
Planning Director
Date
24 hour notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any