HomeMy WebLinkAboutBuilding Permit 07-1085
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
4r/2
LJ A /C--6 pt
Date Rec' d
/1 G. c7
I White
Pink
Yellow
I PERMIT NO. '1.
(OB~I
File
City
Applicant
~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
~/SJ;-J [~).~
d- Y<~, ~.
(Phone)
(Phone)
9S-2~ VC/2 -(; ?dO
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
o Mise.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
I hereby certify that I have turmshed mt,nmatl<lO on this application which IS to the best of my knowledge true and CO!Teet. I also certIfy that I am the owner or authortzed agent tllr the
JhllVI'-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submItted plans 1 am aware that the buildIng
official can revoke th~::::t.lust ~/ Furtl~, I hereby agree that the City official or a deSignee may enter upon the propeny to pertlJlm need; ;specg:'_ c> J
X _ v ~ _______ ~~
Signarure Contractor's License No, Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg U!ticlal
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 IS to certify that the request In the abpve application and accompanY1l1g documents is 111 accordance with the City Zoning Ordinance and may proceed as requested This document
when signed by the City Planner constItutes a temporary Certificate of Zonll1g compltance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (')52) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372