HomeMy WebLinkAboutBLDG 07-0944
OR LAKE BUILDING PERMIT, Date Rec'd
TIFICATE OF ZONING COMPLIANCE
ITY CONNECTION PERMIT I ~;f-/o 7
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City
Applicant
I PERMIT NO. 07- O?4t.f I
(Please
ADDRESS
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK
ADDITION
PID 2-~, 13?,O:/ GrO
OWNER
(Name)
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(Phone)
9J;) - 44) -I/b~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
O~I\.~ r
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch R Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditJOn OAlteration o Utility Connec i
CODE: ~.R.C. OLB.C. o Mise.
Type of ConstnJction: I II III IV V A PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U
Division: ~. 2 3 4 5 (excluding land)
I hereby certify that I have hlrmshed Infll1matl<ln on this application which IS to the best of my knowledge true and COlTect. I also certify that I am the Dwner Dr authonzed agent lill" the
abllve-mentlLlned property and hat constructllln wdl confi)rm to all eXIsting state and local laws and will proceed in acell1dance wilh submIlted plans I am aware that the budding
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Contractor's License No.
Date
Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
. DC)
Plan Check Fee
-
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechal1lcal Permit Fee
Sewer & Water Permit Fee
,2...>
Gas Fireplace Permit Fec
$
$
$
I $
$
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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I lluildlllg Ulllclal
/~/Z/07
, Datt!'
I paidff~. "'e
Date 2.-/0 1
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ThIS IS 10 certify that the request 111 the above applrcatlon and aCCllmpanYll1g documents IS 111 accordance With the City Zonrng Ordll1ance and may proceed as requested TIllS document
when Signed by the City Planner constItutes a temporalY Certificate of Zonll1g complrance and allows constructIOn to commence Before occupancy, " Certificate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372