HomeMy WebLinkAboutBuilding Permit 07-1018
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. ei7'~ fOl8
fa. ~ /C VI ft.,) D ,..,' vi.. S E'
ZONING (office use)
PUp
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
CA/1-0,~
lO<::JB' 3('n
PID 2
.-0
OWNER
(Name) Te V'1
+- '3~Cy Po v!i7
I
(Phone) 96>-2- '1'-16
ZY/3
(Address)
BUILDER
(companyName)f'!lrllJtJf t~~,~, 5,'t:L~ ~ W,l"..J"-O :z;:.~('.
(Contact Name) Tl1-e.r~SQ,. MIl......}ltf!V
(Address) 3/3 .Y
(Phone) 71:>3 '/Z7 96~b
(Phone)
6
TYPE OF WORK 0 New Construction ODeck OPorch )ifRe-ROofing ORe-Siding OLower Level Fimsh 0 Fireplilce
OAddltIon DAlteration o Utility ConnectIOn
CODE: ~.C. DI.B.c. o Mise
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $ i/ ~S() -
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that l have furnished mformation on this application which is to the best of my knowledge true and correct. I alsu certify that 1 am the owner or <1utlHlnzed agent for the
above-mentIoned property and that all construction WIll conform to all eXlslIng state and local laws and will proceed m accordance with sub muted plans I am aware that the blllldmg
~liCIa~:'2U;; ~e I hereby agree that the CIty official ~;n; ;;en;':,n the property to perform nee;~Act;~ r
, Signature Contractor's License No. ~ Date
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
Park Support Fee
SAC
#
#
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
$ (Co~-
Receipt No. ~4-SS-_5
By f.4t
Permit Valuation
Permit Fee
, - z..,-
Water Meter Size 5/8"; I",
Pressure Reducer
Plan Check Fee
Sewer/Water Connection Fec
Builder's Deposit
Other
TOTAL DUE
Paid
Date
-r~- -
oll-Llen
I f
ThiS IS to certify that the I ..t In tl ' ( ove applIcatlon and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may pn)cl'ed as requested ThiS document
when signed by the Cuy Planner constitutes a temporary Certificate of ZOl1lng compliance and allows eonstrucllon to commence. Before occupancy, a Certificate "f Occupancy must be
i."isll(.'d
Planning Director
Date
24 hour notirr for all insprrtions (952) ....7-9850, fax (952) ....7-..245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any