HomeMy WebLinkAboutBuilding Permit 07-0877
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Q,rl-07
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 7.0 177/
~ "' prin' Md ": .. boonm)
ADDRESS
~ (p +-V ~~
ZONING (office use)
fJ C-- t
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
\~k-
(Phone) 't?'"Z-1zS- 6/.%
o New Construction ODeck OPorch
DAddition DAlteration o Utility Connec
ORe-Siding OLower Level Finish 0 FIreplace
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
$
d mformation on this application which 15 to the best of my knowledge true and correct I also certify that I am the owner Dr tluthonzed agent hn the
Jb<lvc-mentlllne property a B at all ClInstruclIon wdl conform to all eXIstIng state and )ocallaws and will proceed In accordance with submllted plans I am aware that the bUIldIng
er It - r Just cause Furthermore, I hereby agree that the City official or a desIgnee may enter upon the propeny to peIt()fm needed inspectIOns
Contractor's License No.
_~/?'"'()7
Date
x
Signarure
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
i $
lllllldllH! Ufliclal
Datc
TOTAL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
ThiS IS to certify that the request in the above appliCJtIOn and accompanymg documents is 10 accordance with the City Zoning Ordinance and may procecd as requested TillS document
when signed by the City Planner cnl1stltutcs a temporal)' Certificate of Zomng compliance and Jllows construction to commence Before occupancy, a Certificate ()f Occupancy must be
issued
Planning Director
Special Conditions_ if any
Date
24 hour notice for all iuspectious (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372