HomeMy WebLinkAboutBuilding Permit 07-0999
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
Rtp&E:
Date Rec' d
{6 -(1.u7
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 f. 01111
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER "
(Company Namcl1d!P.., -rO~
(Contact Name) ~-r
(Address) 2-15'
~s. ~-rf4tCnN("
:r; $ C Z;4;- Jc..-
It:>,Art.-t A Ave t.Al<-eN IUC
(Phone) 1'72.- '1~Cf- yt/11
(Phone) [,tZ - 3~ {, - L.(115
~s-o L-/.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.C. o Mise
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
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 hlfTIlshcd mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
abllve-mentlllned property and that all Cllnstructllln wlll conform tll all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
()ftIcial can revoke thiS permit for ust cause Furthermore, I hereby agree that the cay official or a deSignee may enter upon the propelty to pertc)rm needed lOspectlons
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
~echanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
Iluildlllg Ufliclal
Date
Contractor's License No.
Park Support Fee
SAC
#
#
I~ /17 / t> 1
due
$
$
$
$
$
$
$
$
$ 7 (p _ (jU
Planning Director
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Tim IS tll certify that the request 111 the abllve apphcatllln and accompanY1l1g documents is 111 accordance with the City Zllning Ordinance and may proceed as requested ThiS dllcument
when signed hy the CIty Planner constitutes a temporary Certificate of ZOllmg compliance and allows construction to commence Before nccupancy, a Certificate llfOccupancy must be
isslled
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any