HomeMy WebLinkAboutBuilding Permit 07-0996
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CITY OF PRIOR LAKE DUILDINC PIB1MIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
o P
I~Ui/~ It-
Date llee \ J
Ib ,(S_c);
I White
Pink
Yellow
I PERMIT NO.
7 - 99 b I
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Contact Name)
(Address) 14t) 0
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditlOn OAlteration OUtility Con
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
tV>T (l\Je (Phone) Wo >rfl
(P"ne) (~d L - gG,o Z ~" I
'1LIo^- M(t.-
ORe-Siding OLower Level Finish 0 Fireplace
o Misc
B
S
PROJECT COST /V ALUE
(excluding land)
$
U
I hereby certify that I have hlrmshed I formation on this application which is to the hest of my knowledge true and correct I also certify that I am the owner or iluthonzed agent tin the
ahove-mentlllned proper and that I construction will conform to all eXlSt10g state and local laws and will proceed 10 accordance with submitted plans. I am ilware that the build10g
official can revoke this erm :t calise Furthermore, I hereby agree that the CIty official or a designee may enter upon the propeIty to pert()rm needed tnspectlons
vto~Cf'-l fit..{ 3 10 ~(c, -03_
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
I Plumbing Permit Fee $
I
~echaTI1cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ i
This Application Becomes Your Building Permit When Approved
lluildlllg Olliclal
Datc
Contractor's License No 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 1S to certify that the request in the above applicatIOn and accompanYll1g documents is in accordance with the City Zoning Ordinance and may proceed as requested ThlS document
when signed by the City Planner constltutcs a temporary Certificate of Zomng compliance and allows constructIon to commence. Before occupancy, a Certlficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all illspectiolls (952) 447-98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372