HomeMy WebLinkAboutBuilding 07-0408
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S:Z907
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07 o4-()8
(Please
ADDRESS
ZONING (office use)
/7/2-0
wooo VI&W
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-5""'. Z-B O. 04 I . 0
OWNER
(Name)
(Phone)
(Address)
: BUILDER I I
I (Company Name)-p 0 "n f.. t'
II (Contact Name) .) i """" ::) c: h t A '-< ~ (
(Address) 5 '5 0 '3 V\ ~ VI'\. " ~ .s ~
YA fl rJ
Cd Vl t f D-<.to rS
(Phone)
(Phone)
t:'
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
1 hereby cr that l have hJrmshcd mformatIon on this applicatio which 15 to the best of my knowledge true and correct. I also certify that I am the owner or authoflzcd agent for the
above- enuon d property and that all constructlon wtll conf,)r 0 all eXIsting state and local laws and will proceed In accordance with submllted plans I am aware that the bUIlding
onici, can revo -e =I~~au . hermo.'. 1 her y gree that the CIty omcial or a deSignee may enter upon the propel1y to pert()rm ~de~l;p~tlo::, 0 7
Signature Contractor's License No. Date T
Park Support Fee
SAC
#
#
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
$
Gas Fireplace Permit Fee
$
$
$
$
$
$
I $
$
Water Meter Size 5/8"; I";
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Builder's Deposit
Other
Buildlllg Uftlclal
Date
TOTAL DUE
This Application Becomes Your Building Permit When Approved
ThIS IS to certify that the request III the above application and accompanymg documents IS m accordance with the City Zoning Ordinance and may procecd as requested TillS document
when Signed by the City Planner consl1tutes a temporary Cemticate of Zoning compliance and allows construction to commence. Before occupancv. a Certificate of Occupancy must be
issued
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