HomeMy WebLinkAboutBuilding Permit 07-1121
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
5798
(!/L&JJ /f?t,I.o~
Date Rec' d
It Ib (/7
I While
Pink
Yellow
I PERMIT NO. t17. /12-/ I
File
City
Applicant
ZONING (office use)
s-:-.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER l~L ~ f.
(Company Name)rvI N Itf/\J j
(Contact Name)-=ro~'t tAffll . /
(Address) '/g'iJ 1~i!:2- W<:..--
15- 2 2/7 IoU
TYPE OF WORK 0 New Construction ODeck OPorch K:Kte-Roofing
OAdditlOn OAlteration OUtility Conne~n
o Mise.
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
A
B
ORe-Siding OLower Level Finish
o Fireplace
B
S V
PROJECT COST/VALVE $
(excluding land)
1 hereby certify that I havl' hlfmshcd mformation on this application which is to the best of my knowledge trut.' and correct. 1 also certify that I am the owner or authorIzed agent for the
JbilVl'~mentlOned property and that all Cl structllln will conf(,rm to all cXlst1l1g state and local laws and will proceed 111 accordance with submitted plans I am aware that the btllId1l1g
()fticial can revoke thiS permit for Just c, SC iu -t er ore, I hereby agree that the City official or a deslgnee may enter upon the propel1y to pertc)rm needed InSpectIOns
X /1-16~ 67
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
BIlIldln~ UtIiclal
Date
l1.hls " to certify that the lequest 111 the above applicatIOn Jnd accompanY1l1g documents is 111 accnrdance WIth the City Zoning Ordinance and may proceed ,tv requested TIllY d. ocument
I ",,'hen signed by the City Planner constltutes a tempor,llY Ceruflcate of ZOl1lng compliance and allows constructlon to commence. Befllre occupancy, .1 Certificate of Occupancy must be
\ "sued
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DVE $
Planning Director
Special Conditions, if any
Date
24 hour noticr for all insprctiolls (<)52) 447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372