HomeMy WebLinkAboutBuilding Permit 07-0785
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CITY OF PRIOR LAKE BUILDING PERMI1',
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date iZec ~ d
~/llor07
I White
Pink
'{ el1O\v
File
City
Applicant
I PERMIT NO.
tJ 7 -'D7~S
(Please
ADDRESS
/ Lfl/1
ou^-~r
ZONING (office usc)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(; '- I) f. '\..
(Phone) C;S-,; - y:) ~ Z-SG /
(Address)
BUILDER . - C
(Company Name) l.-y
(Contact Namer--tZJ)
(Address)
,J'--vtl.-JA..-1.. J4 "'-
WO~7-/9
(O{l-;~o Ztfh/
(Phone)
CODE: ~I.R.C. DI.B.C.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E H I M R S U
Division: 2 3 4 5
ORe-Siding OLower Level Finish 0 FireplilCe
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Conne
o Misc.
PROJECT COST IV ALUE $
(excluding land)
Permit Fee
Park Support Fee
SAC
I hereby certIfy that I have furmshcd mformation no this application which IS tu the best of my knowledge true and correct. I also certify that I am the owner Dr authOrIzed agent for the
abo' . oncd property and t at all elms ucHon w1I1 cont(Jrm to all eXlstmg state and local laws and will procced in accordance With submitted plans I am aware that the bulldmg
:1 Clal can rcvo IllS permit r Just cal S Irthcrmore, I hcreby agree that the City official ~;S- r ~te~p:;...;propeI1Y to perform needcdR":f'6'_ 0, -=1-
Contractor's License No. Date
"uildIlH! llrtielal
glrf%7
( Date
Paid
Date
~~.oo
f lo f 07
# $
# $
$
$
# $
# $
$
$
$ 7&. 0 (J
Receipt No, e;tIS<5/
By ~
Permit Valuation
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I. '2...~
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
Plan Check Fee
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
TillS Application Becomes Your Building Permit When Approved
~~
TIllS IS to certify that the request m the above application and accompanymg documents IS m accordance with the City Zoning Ordmance and may proceed as requested TIllS dllcument
\\'l1en signed by the CIty Planner constItutes a temporary Certificate of Zomng cOmpiIJIlCl' and allllws nmstruction to commence. Before occupancy, a Certltic.1te of Occupancy must be
isslled
Planning Direetor
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9851l, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372