HomeMy WebLinkAboutBuilding Permit 07-1058
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'I!2-!07
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 "l- /0 >8 I
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID z.~. .304-. 0Z4.0
OWNER~ -..:h
(Name) ~ /-'11 'i'" Y1- rz,1-
4"-
(Phone) {.f(;2. - LfIC;-c7-~S
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
(Phone) &/:? -7~(J -tJ~'Ir
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch -Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration o Utility ConnectIOn
CODE: ~.R.C. OLB.C. o Mise.
Type of onstntction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
C [I1lshed mformatIOn un this appltcation which 15 to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
rand #Jat all construction Will contllrm to all eXIstll1g state and local laws and will proceed in accordance with submItted plans I am aware that the buildll1g
_ p, ml! or Just calise Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the propel1y to perform needed mspcctl s
2- tl ~3 5;-fp JV 2- tl.~
Contractor's License No.
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
Park Support Fee
SAC
#
#
,25
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
(P.Oo
Paid
Date
~ (,.0 0
'/-e/o7
I Receipt No. 51.(~
By h
This Application Becomes Your Building Permit When Approved
~ ~ If/Lid?
Illuldlllg Of!i(lal Ifate
ThIS IS to certify that the requL'st 10 the abllvc applicatlOl1 and accompanY1l1g documents is in accordance with the City Zoning Ordinance and may proceed as fequested TillS document
when signed by the CIty Planner constItutes a temporary Certiticate uf ZLll1l1lg compliance and allows construction to commence Before occupancy. a Certificate ()f Occupancy mllst be
i."iSllCd
Planning Director
Dale
24 hour notiee for all inspectious (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Speeial Conditions. if any