HomeMy WebLinkAboutBuilding Permit 07-1080
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1 B_ u7
ADDRESS
3;J7d
I. White File I PERMIT NO 1\
2, Pink City . 1- {'O 8 u
3. Yellow Applicant . ~~
A1j7l- Str-eel skf
fJrioy ! It- K e
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
[hn !,.
.Jd 7d
Hen;Ae/s
J~ en f .s.l-ru f
(Phone)
1/5;)- )J(P -,) 7s I
(Address)
~w
BUILDER
(Company Name)
(Contact Name)
(Address) J.J
(Phone)
(Phone)
AS d a /1'1 / s.s.5 / R
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
o Misc:
ill IV V A
HIM R
2 3 4 5
B
S U
~ 00
PROJECTCOST/VALUE $, 000.-
(excluding land)
x
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this p 't for st c ermore, I hereby agree that the city official or a desigoee may enter upon the property to perform needed inspections.
'dJ; dOC)(Pt$/~ il/7/0J
Contractor's License No. D&te I
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
Building Official
Date
TOTAL DUE
This Application Becomes Your Building Permit When Approved
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Special Conditions, if any
Date
24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372