HomeMy WebLinkAboutBuilding Permit 07-0536
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
3s4.~
n at bottom)
IS LAN b
j) I ~ C!.- / €. O(.e-
Date Rec' d
{p.zZ,07
I White
Pink
Yellow
File
City
Applicant
PERMIT NO.07.
053~) I
ZONING (office use)
JJL()
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
::r
CA~dtJ
(Phone)
44'1-- 77 b 1
//)A~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Conn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
e-Roofing ORe-Siding OLower Level Finish 0 FIreplace
n
o Misc.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
x
'. a plicatllln which IS to Ihe best of my knowledge true and correct I alsu certIfy that I am the uwner or authorIze,! agent Illl the
nfllrm to all eXlstrng state and local laws and WIll proceed in accordance wIth submItted plans I am aware that the bulldmg
. . ] hereby agree that the Clry official or a deSignee may enter upon the propeJ1y tu pertlJrm needed mspectl<lns
to... 'L~O--r
I hereby certify that I have furmshed mformatiun
JbovL'-mcntIoncd property and that all Clmstn 10
offICial can revoke thlS permIt for Just calise r 'r
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
! Penalty $
! Plumbing Permit Fee $
Mechamcal Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
lltllldlllg Uf!iclal
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 to certify th,lt the request In the abllve application and accompanYlllg documents is 111 accordance with the City Zoning Ordinance and may pn)cecd as requcsted ThiS document
when signed by the CIty Planner constItutes a temporary Certificate of ZOl1lng compliance and allows construction to commence Before occupancy, a Certificate llfOcclIpancy must be
i.'iSlll'd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372