HomeMy WebLinkAboutBuilding Permit 07-0857
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I ~~;f~;;;d.~::V'
Date Rec' d
9./0. 01
] White
Pink
\'ellO\....
File
City
Applicant
PERMIT NO. tJ 7( 0 aS7
A II IL)
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~
(Name) CL
<1- /:A+1~
r.L1L 1
(Address)
(Phone)
C- fl..- . 5"{(,.- of( ~
BUILDER
(Company Name) I:> -1AJe,US
(Contact Name) p '^-S+I n
(0 nS/-rt".;:;-I-)'().Y1
\,V,() 1 L $"
Av
(Phone)
(Phone)
MAJ
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ~Re-Roofing
OAddltlOn OAlteration o Utility Connecll~
ORe-Siding
OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.c. o Mise $tc; O()()
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
x
I hereby eertlly Ihatl have hlrmshed mformatllJn on this applicatIOn which IS to the best of my knowledge true and correct I also certily that I am the owner or authOrized agent tlJr the
.1bllve-menl1oned erry, d that all e nstructlOn will conform to all eXisting state and local laws and will proceed In accordance with submltled plans. I am aware that the building
offICial can rev. T tlus perml for Just 1St' Furt rmore, I hereby agrct.' that the CIty official or a deSignee may enter upon the prOpet1y to perform needed lnSpcctlons
~ ~~/O~q1
Contractor's License No.
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 $ I
This Application Becomes Y OUT Building Permit When Approved
Iluildlllg Uftielal
Date
Date
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
ThiS IS to certify that the request 10 the above application and accompanYJI1g documents is in accordance WIth the City Zoning Ordinance and may procecd as requested ThiS document
when signed by the City PI,lnncr constItutes a tcmporzuy Certifi.cate of ZOl1mg compliance and allows constructIOn to commence Before OCCUpcl.l1cy, a Certificate of Occupancy must be
isslIed
Planning Director
Speeial Conditions. if any
Date
24 hOllr notice for all inspectiolls (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372