HomeMy WebLinkAboutBuilding Permit 07-1069
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
3 /92-
If l...--rf7Vl-iJl/;
Date Rec' d
II 7- {) 7
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07. I ()f..
C4/{Ji--i-E'
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK D New Construction
OAdditlOn OAlteration
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
(Phone)7f, ~~,? 17 - 01 ~ r
(Phone) ')6 ? <) ?r-I /6;;"
- 5' 5'5 1
ORe,Siding OLower Level Finish D Fireplace
o Misc.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
I herehy certify that I have hlrnishcd Information on this application which 1$ to the hest of my knowledge true and COITect I also certify that I am the owner or autlwnzed agent for the
.lbnvc-meotlOocd property and that all constructIOn will conform to all eXlstlOg state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildlOg
official can revo 'e this -T t for J 1st cause Furthermore, I hereby agree that the Clty official or a desIgnee may enter upon the propeIty to pcrf()rm needed IOspectlons
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
:
I Plumbing Permit Fee $
I
~echanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Y OUT Building Permit When Approved
Iluildlllg Ufticlal
Date
~O57?3 I~ 11- ?- 0 ~
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
Thls IS to certify that the requcst in the abllve application and accompanYlIlg documents is 111 accordance WIth the City Zoning Ordinance and may proCt.'ed as rcqucsted ThiS dncumcnt
whcn signed hy the City Planner constItutes a temporary CertIficate of ZOlllllg compliance and allows constructIon to commence Befl)re llCcupancy, a Cntlflcatc ill' Occupancy must be
i,SSlICd
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372