HomeMy WebLinkAboutBuilding Permit 07-1087
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NOou7 - \c1bl
ZONING (office use)
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/7l)77
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
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I fO"7[ -ro r<.>^-\-.;>
(Phone) <?52 - 2.. I"Z -9<1'11
(Address)
,c.
BUILDER -:?
(Company Name) 1:::Tu..4,~ ~\~c;)-.
(Contact Name) Lcs C'..- ~<.~ ~.....
(Address) Z :z -z, W, -g ~ $"+.. .
f-1JJ
(Phone) 95 z. -2<::1 2 .. '1 z z. '-/
(Phone) 'XZ" ].;<:;z- ~Z.Z i
~:.-.
..
TYPE OZWO D New Construction DDeck DPorch e-Roofing
DAdditlOn DAlteration DUtility Connection
CODE: I.R.C. DI.B.C. D Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
It. ~~
PROJECT COST IV ALUE $ S 4V-
(excluding land)
I hereby certify that I have turmshcd Information on this application which IS to the best of my knowledge true and conect. I also certify that I am the owner llr authOrIzed agent for the
Jbnve-mentlOned property and that all Clmstruction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the builctmg
oftlClal can revoke tlm permIt fnr JI -t cause Furthermore. I hereby agree that the CIty official or a deSIgnee may enter upon the property to pertcJrm needed mspectIons
~ 2...0~ '3 3- If$S Mv- 3 (t DB
gnature Contractor's License No. Date
x
Park Support Fee
SAC
#
#
TOTAL DUE
(Co--
I ~~ceiPtN~~ 0 {-q
$
$
$
$
$
$
$
$
$
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
, Plumbing Permit Fee $
~echaJ11cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permtt Fee $ ,
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
l \
I Pa;d 7 (,0 - t ~
Date \ \ ~ / 7
I
ecomes Your Building PermIt
ThIS IS to certify , 'st 1I1 the above appltcat d accompanYll1g documents IS 1I1 accordance with the City Zoning Ordinance and may pn>cl'cd as requcsted. TillS document
\\'hen signed by the City Pl;lI1l1l'f constitutes a temporal)' Certificate of Zonmg compliance and allllws CllnstrllctlOn to commence. Before occupancy, a CertifIcate ()f Occllpancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any