HomeMy WebLinkAboutBuilding Permit 07-0677
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
IW
Nf
LEGAL DESCRIPTION (office use only)
LOT X BLOCK
ADDITION
OWNER tt 1\/\/\ .
(Name) iJCO 'v uVi1n
(Address) lYLOef1
Nt
BUILDER '"' L.
(Company Name) ift:JUl V Our I n~
(Contact Name) ~
(Address) 100 -- J.JIOV 51 ,d
Date Rec' d
7 Z 1.0]
I White
Pink
Yellow
I PERMIT NO. 0'1. C' Cd 771
File
City
Applicant
ZONING (office use)
PID
'1.0
(Phone) LiLlO-IZ5B
(Phone) Cl15. 12LI
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch -Roofing ORe-Siding OLower Level Fil1lsh 0 FIreplace
OAdditlOn OAlteration OUtiJity ConnectIOn
CODE: DI.R.C. DI.B.c. o Mise. 9 I ()C:O
Type of Construction: 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 1 have hJrnlshcd mfnrmatIon on this application which IS to the best of my knowledge true and (nlTect I also certify that I am the owner or authof!zed agent for the
above-mentIOned property and that all construction will contllfm to all eXisting state and local laws and will proceed in accmdance with submitted plans I am aware that the building
~rlCial can ~;~cause urt~rebY agr 'C that the City officialm a deslgn;O:z, upon the propeny to pert(Jlm nee~~i7PZI7 / cl7
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
Bulidlllg Ufticial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ 7[, (/0
5L/z.7Z-
ThiS IS to certify that the request in the above application and accompanymg documents is m accordance with the City Zoning OrdInance and may proceed as requested. ThiS dlH.'ument
when signed by the City Planner CllnstItutes a temporary Certiticate of Zonll1g comphancl' and allows constructIon to commence Bef"re occupancy, a Cemticate of Occupancy must be
issued
Planning Director
Special Conditions. if any
Dale
24 hour notice for all iuspectious (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372