HomeMy WebLinkAboutBuilding Permit 07-1026
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
Date Rec' d
White
Pink
Yellow
/OI&~/o7
I PERMIT NO. tJ 7 - fa2/p I
File
City
Applicant
ZONING (office use)
'6-1/0 I
Lo-t- -<L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
~
(Phone) 15d- f17-Cs,?7(P7
PL-
BUILDER
(Company Name)
(Contact Name)
(Address)
lib fVt e- 0 LJ ^ e ~v :0,,('<:).. M--e_ f't' L (Phone) 7'5,;:2 -f/'/7 - (y 7 &7 7
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Conn
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
III
H
2
IV
I
3
V
M
4
I
E
II
F
1
e-Roofing
tlOn
ORe-Siding
OLower Level Finish
o Fireplace
o Mise
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furmshed mformatlon on this application which IS to the best of my knowtcdge true and correct I also certIfy that I am the owner or authollzed agent fin the
abovc-mentllJned proper and that all constructllln WIll confilrm to alleXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can re ke tl1lS or t fin Just cal e Furthermore, I hereby a ree that the City official or a deSlgnce may enter upon the propelty to pertlJrm needed mspectlons
--1f)- ,,?/ - 0 '7
Contractor's License No Date
"
Permit Valuation ''I;;J;~O()' CO
Permit Fee $ I 74, 7~
Plan Check Fee $ -
State Surcharge $ {, Z-S
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
r
~-I~
:64/.,. ~
!o!2, ~ ft;7
Date .
lllllldlllg Unlcial
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 $ 7(, .00
I P,id ~'" Oll
Date 1-Z'/d7
I ~;'eiPt ;::'<fi"r-li"
TIllS IS to certify th"t the request In the above "ppltcatlon and accompanYing documents IS In accordance With the City Zoning Ordinance and m"y pwceed as requested 1'1115 document
when signed by the City Pl;1nnc]" constItutes a tcmpurary Certificate of Zoning compliance and aUuws constructlon to commence. Before l>ccupancy, a Certificate of Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
2.. honr notice for all inspections (952) ....7-9R50. fax (952) ....7-..245
4646 Dakota Street Prior Lake. MN 55372