HomeMy WebLinkAboutBuilding Permit 07-0617
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
] White
Pink
Yellow
File
City
Applicant
I PERMIT NO.7 -(Pi7
Jil?JJ N~n /-tmJ ~
/Vc=
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT .3 BLOCK L ADDITION f'A-o".
~
PID Z
OWNER
(Name)
c\~
MCc -'1
(Phone)
(Address)
v~s S~Ollq7
(Address)
Gl
TYPE OF WORK
ORe-Siding OLower Level Finish 0 Fireplacc
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$ _l ~{ldU
I hereby certity that I have furmshed Information on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or illlthonzed agent for the
Jh"vl'-mentlOnl'd property and that JlI constructllln wIll confiJrm to all exrstrng state Jnd local laws and will proceed rn accordJnee with suhmItted plans I am aware that the huildrng
"flicraJ can revoke thl ermU filf Jl. ause urthermorl', I herehy agree that the CIty officiJI or J deSIgnee may enter ron the propelty to pl'rfllfm needed rnspectl<lns
X 2..6~"'3 \ \'L ,-(J -07
Contractor's License No. Date
Permit Valuation
'Iding Permit When Approved
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 $ 7~~
II"
Paid
Date
7/ I? l()?
I ,
ReceiPt~ 5'42;> B
By . 6 )
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
$
ThIS IS to certify that the request in the abuvl' appltcatlon and accompanYlIlg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planl1LT ClHlstrtutcs a temporary Certificate of ZOl1log compliance and ill1llWS construction to commence Before occupancy, it CertIficate of Occupancy mllst be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-,'245
4646 Dakota Street Prior Lake, MN 55372