HomeMy WebLinkAboutBuilding Permit 07-0918
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
XDRE~ 9 ?
n at bottom)
S YVe-c
7r~f '/
LEGAL DESCRIPTION (office use only)
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO.O 7- r IS
ZONING (office use)
e.IS
LOT Z-BLOCK
ADDITION
SUN 6-'r 14u~
PID 2.5-/"1 l. 081_ 0
OWNER ? j/
(Name) /~ I (r
(Address) ) '2
i BUILDER
~company Name)
I (Contact Name)
(Address) S--?- 5-
ON.
(Phone)
./
L~---
6' 12 s--r~
7 .s~c 4ft) ~
L/ ~'-3 ?
C/ ?C/ c./
(Phone)
(Phone)
tt '- ie,
~------
C~.
TYPE OZORK 0 New Construction OOeck OPorch ORe-ROOfing.
OAdditIon OAlteratlOn o Utility ConnectIon
CODE: I.R.C. DI.B.C. 0 MIse.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrmshed mformation on this applicatlOn which IS to the best of my knowledge true and cnrrect. I also certify that I am the owner or authOrized agent for the
I above-mentioned propcr ond that oil cunstruCl10n Will cont()rm to all eXlstmg state and local laws and will proceed in occordonce with submitted plans I om awore that the buildmg
i ?Ol con revoke th crmlt fo ust cause Fu ermore, I hereb ogree thot the Clty~licia7 dog}ptfP~th?ro~~ perfilI'm necdc1s:~li~'G _ (l r
A ~ - Cot'itractor's License No. C'-'" Da;--
Permit Valuation
,..-
~
Permit Fee
$
$
$
. 2-<;
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechal1tcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 1~. -
I Receipt No, S-~;7 ~~
By /<.D
Paid
Date
~.~;:/O(
ThiS IS to certify that the request In the abnve application and accompanYing documents is III accordance WIth the City Znning Ordinance and may proceed as requested 1'lus document
\\'hcn signed hy the City Planner constItutes a temporary Certificate of Zonlllg compliance and allows construction to commence. Before occupancy, a Ccrtlfic1tC of Occupancy must be
i.~sLll'd
Planning Director
Special Conditions, if any
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372