HomeMy WebLinkAboutBuilding Permit 07-0935
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please n at bottom)
ADDRESS
\ (oq ') 3 5:~ 1L.'t1J
C i "'lle
Date Rec' d
I White
Pink
.\ Yellow
I PERMIT NO. 07 69s.s1
File
City
Applicant
ZONING (office lIse)
Sw
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
C ,'r (U
ODv1-v,'[ii\
l bq S .
(Address)
BUILDER. J
(Company Name)--.W(A.:11"(%j-~q
(Contact Name) Ytl....--t"'-
(Address) S 0 4
~HUfr j,L t Hc"-
TYPE OF WORK 0 New Construction
OAdditlOn OAlteration
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
(Phone)
q S '2 - Y V G7 . to I 3 ~
5w
Wtl.kv
(Phone)
(Phone)
,H 0 K2-
h J I - 4 ,] 1- Lf J 2 0
ORe-Siding OLower Level FinIsh 0 Fireplace
o Misc.
B
S
~ 5&'0-
I
PROJECT COST IV ALUE
(excluding land)
$
U
I hereby certify that I have furnished mformation on this application which IS to the best of my knowledge true and correct I also certify that I am the owner or authOrIzed agent for the
ab<lvc-mentlllned pr<lperty and that all eun,trlletllln w1l1 conf(Jrm to all eXlstmg state and local laws and will proceed m accordance with submitted plans. I am aware that the bUlldmg
~fiCial can revuke tlm permit fl)r Just eaus~~re, I hereby agree that the CIty offiei~r ~d;gn; ;1Y4n~r ~on the property tu perf()rm neededq'!~e/1'~ () '7
gnature Contractor's License No. Date
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 $
This Application Becomes Your Building Permit When Approved
lluildlllg Oniclal
Date
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
ThiS IS to certify that the request in the above applicatlon and accompanYlllg documents is In accordance with the City Zoning Ordinance and may prDcL'l'd as requested ThiS document
\vheI1 signed by the City Planner constItutes a tempurary Certificate of Zoning compltance and allows construction to commence, Before llccupancy, a Ccrtlticatl' Dr Occupancy must be
isslled
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