HomeMy WebLinkAboutBuilding Permit 07-0926
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'27Q
{CAI'" Wuo.1 c.;' {~
Date Rec' d
92.-t01
I White
Pink
Yellow
I PERMIT NO. 07 ,0 72(t:; I
File
City
Applicant
ZONING (office use)
K2c-;-UF L '7
;f;1,V
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
L.C/lrJ..-^, {
eXr
BUILDER
(Company Name)
(Contact Name) Tcr-r,""
(
pC! IS c; y
44"
fie ) ~
fi 1)3
11/V
(Phone)
(Phone)
,,- ?-3 71
s J....... 11& (?e-e
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility Conne tIon
CODE: DI.R.C. DI.B.c. o Misc.
Type of Constnlction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have furmshed IOfillmatlOn on thIS application which IS [() the best of my knowledge true and CllI'rect. I also certify that I am the owner", Juthol'lzed agent fill' the
JbllVC-mcotlOI1cd property and that all construction will conform to all CXlstmg state and local laws and will proceed in accordance with submItted plans_ 1 am aware that the buildll1g
official can revoKe thIS permit for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perthI'm needed mspectIons
X ~ ~~ 1/21107
Signarure Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
i
I Plumbing Permit Fee $
I
Mechal11cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ i
This Application Becomes Your Building Permit When Approved
Iluildlng Ui'licial
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 Ct'rtIt,; that the request 111 the above applicatIOn and accompanYll1g documents is in accordance with the City Zoning Ordinance anlt may proceed as requested ThiS document
when signed by the CIty Planner Ctlnstltutes a temporary Certificate of Zon1l1g comphance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
Isslled
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372