HomeMy WebLinkAboutBuilding Permit 07-0987
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/~4 V. At/~
Date Rec' d
I White
Pink
Yellow
loll Z/O 7
PERMIT NO. 07 ,-{fig 7
File
City
Applicant
ZONING (office use)
.S. u.J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
c,tJ1 C I" .9.' cJ
Ltl/./<I 5.
(Address)
(Phone)
BUILDER /) LJ..-
(Company Name) /7 / CO(
(Contact Name) /"'1 ft-'re DOS /~ _'I? /..c.:Ii!-
(Address) I f (.) :;rc,l/st"~ A1.f)~ I<c-l
(Phone)
(Phone)
7 (.3. q & Y. 'tela ~
c'/7-. j ? R. J-J>o
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditIon OAlteration o Utility ConnectIon
CODE: ')llI.R.C. DI.B.C. o Mise.
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U
Division: ~ 2 3 4 5 (excluding land)
I hereby certify that I have turOlshed mformalwn on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or autlwnzcd agent for the
abllve-mcntwned pr that all mnstructIOn will conform to all eXlstmg state and local laws and will proceed in accordance with subm1lted plans I am aware that the burldmg
~lieial can rev e tillS l:rm1l f(1~"tj Furthermore. I hereby agree that the CIty official or" deSIgnee mle:;- ;:.n;e i'P; t(~'~;m needed mspectlons
SIgnature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $ -
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
~~O:;;;;ldi"g P;';;:2:~~d
Iluildlllg Umclal ' Date'
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1", $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 7ra. DO
I Paid. 7t .DO
Date fo {{ 07
I Receipt No. ~i.1 go L 7
By ~.
Tins IS to certify that the request in the above applicatlon Jnd accompanymg documents is m accordance WIth the City Zoning Ordinance and may proceed as requested. Thls document
when Signed by the City Planner constItutes a temporary CertIficate of Zonmg compliance and allows construel1on to commence BdlnT occupancy, a Certlticate of Occupancy must be
isslIcd
Planning Director
Special Conditions, if any
Date
24 hour notice for all iuspectiolls (952) ....7-9850. fax (952) 4..7-..2..5
4646 Dakota Street Prior Lake, MN 55372