HomeMy WebLinkAboutBuilding Permit 07-0761
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
&
VI'"
(/pvS (
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Date Rec' d
t. r/. " 7
I White
rink
'{ellow
File
City
Applicnflt
I PERMIT NO. 07- oJ" /
ZONING (office lIse)
PID L ). 3 7 r. (J"2. l
l!
(Phone)
(Address)
I BUILDER r /l L /1
I (Company Name) h~l/'- L-.1Jy.-J {./(..]'I j"""
I (Contact Name) ,PM I .s; ~c) v-
(Address) 22cJ V W~.J I- ~c, tv....
&(2.-
j-c, / ? ,) i) a-..
(Phone)
(Phone)
c..> (~ 7 /?-'I. --
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration OUtility ConnectIOn
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
III
H
2
IV V
I M
3 4
A
R
5
I
E
II
F
I
o Mise
B
S
$
PROJECT COST IV ALUE
(excluding land)
U
I hereby ccrti at [ have hlrnished mformation on this applicatlOn which IS to the best of my knowledge true and correct I ;:tlso certify that I am the owner or authorized agent for the
ahove-me oned property and that all CllnstructlOn wlll Cllnform to all eXIstmg state and local laws and will proceed in accordance with submItted plans. I am aware that the hlllldmg
official c r' kc thiS permIt Fnr JUS Furthermore, I hereby agree that the City official o[ a deSignee may enter upon the propel1y to perform needed lI1Spectlons
~-- / y:..- "7
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 Your Building Permit When Approved
llUIldll1g Unlcial
Date
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThiS IS tll certify th;lt the request 111 the ;:tbove applicatIOn and accompanYing documents is In accordancc with thc City luning Ordinance and may proceed as requested TillS document
v,'hen signed by the City Planner constItutes a temporary Certifkate of Zoning compliance and allows construction to commence Bcfure occupancy, a Certificate of Occupancy must be
iSSllCd
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372