HomeMy WebLinkAboutBuilding Permit 07-1068
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Il\CLQ
\1M.oT~
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. ,!) 1. __ (~
ZONING (office use)
~.c.
(2- \
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
LCN~ ING
tuJ4k
I LfL'"Lo
(Phone)
\I ~OlH\.{
~JE. ~.
(Address)
BUILDER
(Company Name)
M.,M& ENTd-P~\S€~
(Contact Name) M.~P-V- ~lLow ~
"'Z- '57..... f k-b w ,vJf,
(Address)
(l;>IZ. -Zz \ -tsS-3
f\Jc
N r;:.~J ~
(Phone)
(Phone)
<:::J"~
~~o
o Fireplace
TYPE OF WORK 0 New Construction OOeck OPorch 'lii'Re-Roofing
OAddltIon OAlteration OUtility Conn~n
CODE:cr1lLk.c. OLB.C.
Type of q;;;stmction: 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
o Mise.
PROJECT COST IV ALUE $
(excluding land)
x
I hereby certify that I have tUfmshed mformatIOn 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-mcntlOned property and that all cllnstruction wlll cont(Jrm to all eXistIng state and local laws and will proceed in accordance with sobmrtted plans I am aware that the buildIng
official can revoke this) 'rm )r cause Furthermore. ereby agree that the City official or a deSignee may enter upon the propeny to perform needed Inspections
I \-f) -Ol
Signature
Permit Valuation
Permit Fee
$
$
$
\.. "L~
Plan Check Fee
State Surcharge
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Zo3gLf44'2-
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 $ -r{.,~-
l~h70(
Paid
Date
i Rc,,;pt No. ~ 1:0
By (2l
ThiS IS to certify that the request m the above applrcatllln and accompanymg documents IS m accordance WIth the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner Clmstltutes a temporary Certificate of Zunmg compliance and allows construction to commence Bcfure occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any