HomeMy WebLinkAboutBuilding Permit 07-0913
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
~~~;;~O;t \ff
PERMIT NO.1 -<1 \3
ZONING (office use)
LOT
ESCRlPTION (office use only)
BLOCK 3 ADDITION OA-t:-<...- 4tvP 13 ~ t::Io 2 r-!l
PID Z -- ("3(p -a.,. - 0
OWNER
(Name)
(Phone(g~ )~Ljl-lJllW
(Address)
(Phone) 19~) q I ~S-l22 7
(Phone)
TYPE OF WORK 0 New Construction ODeck
OAddition OAlteration
CODE: r.lIh R.C. DI.B.C.
Type of ~ction: I II III IV
Occupancy Group: A B E F H I
Division: I 2 3
ORe-Siding OLower Level finish
o fireplace
o Mise
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
l D 5--"'10
I hereby certity that I have turnlshed Inti)rmatlOn lHl this apphcatlllI1 which IS to the best of my knowledge true and cnrrect. I also certIfy that I am the owner or authOrIzed agl'llt tiJr the
aboYe-mentlOned property and that .111 CllnstrUCtlon WIll contilrm to all eXisting state and local laws and will proceed In accordance With submllted plans I am aware that the building
llftiClal can re llke tillS permit ti .Just c. se Fu .thermore. I her 'by ag ,. that the City official or a deSignee I"}i) enter upon the property to pertorm needed inspectIOns
X . r; ~ I IUf:X)
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; ]", $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
~echanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee I $ Other $
$ ~ TOTAL DUE $
I Paid "1,1'...,. (<L1 Receipt No. .s %~
Date B y (l-D rA'- .
This IS to certify that the request In the above applicatIon and accompan)'lIlg documents is In J.ccordance with the City Zoning Ordinance and may procecd as requested. ThiS document
when signed by the Clly Planner constitutes a templlrary Certlticate of Zonmg complIance and allows constructlllI1 to commence Befme occupancy, a Certificate llf Occupancy must be
isslled
Planning Direclor
Date
24 hour notice for all inspections (952) -t-t7-9850. fax (952) -t-t7--t2-t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any