HomeMy WebLinkAboutBuilding Permit 07-0947
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
/5.52--0
/"11/U1'c;--z."t-
Date Rec' d
to. 3, 07
I While
Pink
Yellow
I PERMIT NO.
07.014'1
"
File
City
Applicant
(!A /C. .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Co /1 ~:A'fUCf,'o/")
TYPE OF WORK 0 New Construction
OAddition OAlteration
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
(Phone) ~ 1;2- 7 d- 9 .A17 3~
(Phone) (p() - 179 -t.f73;<
ORe-Siding OLower Level Finish 0 Fireplace
o Mise.
B
S
PROJECT COST /V ALUE
(excluding land)
$
U
I herehy certify that I have furmshed 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
abllvc-mentwned property and that all cunstructwn will conform to all eXlstmg state and lllcallaws and WIll proceed in accordance with submItted plans I am aware that the blllldmg
~tiClal ca evoke t '2 per ")I" Just qus' Furthermore. I hereby agree that the CIty official or a destgnee may enter upon the propetty to pert(lrm needell~J73nl 07
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Y OUT Building Permit When Approved
BUlld1l1~ Ortlclal
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; ]"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to certify th,lt the requcst 1I1 the above application and accompanY1l1g documents is 1I1 accordance with the City Zoning Ordinance and may procecd as requested ThiS document
when Signed by the City Planner constItutes a temporary Cerutlcate of Zonmg complrance and allows constructmn to commence Before occupancy, a Certlticate of Occupancy must be
i."isucd
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372