HomeMy WebLinkAboutBuilding Permit 07-0773
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
d. I S. 0 7
File
City
Applicant
I PERMIT NO. 07. 07731
White
Pink
Yellow
n at bottom)
ADDRESS
y
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)5(T(1
ZONING (llffice lIse)
em PQ.,q~l/j M (1\ r oe~
1\ ~ I
(Phone) (QS2 )Y!:::O -lO~ 2
(Address)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding
OAdditIon OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o MIse.
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
~ ?:>OO. OD
o Fireplace
I hereby certify that I have turOlshed mformation on this application which is to the best of my knowledge true and cnrrect. I also certify that I am the owner or authonzed agent for the
Jhllve-mentlllned property and that all Cllnstructllln wlll confc)rm to all existmg state and lllcallaws and will proceed in accordance with suhmmed plans 1 am aware that the hUlldmg
llfticial can revoke tillS permit Ic)! Just calise Furthermore, I herehy agree that the CIty official Lll a deSIgnee may enter upon the property to perll)rm needed mspccttllns
X . /o:-;{) g/I'-I 1.0--=t
Contractor's License No. tate
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fec
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fec
This Application Becomes Your Building Permit When Approved
1l1lildllH! Ortlelal
Date
$
$
$
$
$
$
$
$
$
ThiS IS to certify that the request m the above applicatIOn and accompanYll1g documents is 1I1 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by tilL' City Planner (OI1StltlltCS a temporary Certificate of ZOl1log compliance and al1llws construction to commence Before t)Ccupancy, a Certificate ()f Occupancy must be
issued
Planning Director
Date
24 hour noticc for all inspcctions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any