HomeMy WebLinkAboutBuilding Permit 07-1044
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Ie! ;;--7: 07
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. tJ7. / ()44-1
(Please
ADDRESS
n at bottom)
ZONING (office lIse)
I~{) 37 ;J{J/U'}/ ft/dOO
r4;),
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Phone)
(Phone)
,/V( -t,)
BUILDER
(Company Name)
(Contact Name)
~I-- $1&k().~C-_
~c::L~~ "'- I<. .-c~
ISDI l:~ RJ .:t:f I
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
DAdditlOn DAlteration o Utility Conne
ORe-Siding OLower Level FinIsh 0 FIreplace
CODE: OLR.C. OLB.C.
Type of Constnlction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
$
I hereby certify that 1 have ttlrOlshed mformatlOn on this application which IS to the best of my knowledge trut.' and (orrect. I also certify that I am the owner or authOrIzed agent t~)t. the
abllve-mentlllned pmperty and that all constructlun will eont(lrm to all eXlstmg state and lucallaws and will proceed in accordance With submitted plans I am aware that the bluldmg
offi.cial CJn revoke this permit t~)r Just cause Furthermorc, I hereby agrce that the City official or a deSignee may enter upon the propel1y to pcrtcJrm needed Inspectmns
X -. ZO'1S0fS'-r if) kA. /-zADl.
Contractor's License No. I Dati
Illlildll1~ Ufficlal
Date
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Gas Fireplace PermIt Fee
$
$
$
$
$
$
I $
$
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
Plan Check Fec
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer & Water Permit Fee
Water Tower Fee
#
#
Builder's Deposit
This Application Becomes Your Building Permit When Approved
ThIS IS to certlfy that the request In the above application and accompanYlllg documents is III accordance with the City Zuning Ordinance and may proceed as requested ThIS d()(,lImcnt
when signed by the City Planner Cllnstltlltcs a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate tlf Occupancy must be
I issued
Planning Direelor
Date
24 hOllr notice for all inspeetions (')52) 447-91150. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any