HomeMy WebLinkAboutBLDG 07-0802
CIT PRIOR LAKE BUILDING PERMIT,
ll( 6;~MrtT ~
PI? ~/08
TIFICATE OF ZONING COMPLIANCE
LITY CONNECTION PERMIT
Date Rec' d
~.~I. 01
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Address)
(Address)
I White
Pink
Yellow
File
City
Applicant
\ PERMIT NO.
01.otoU
ZONING (office use)
PID
o
(Phone) ~~L. - ~~ Ll"" ~ I\~ b
6'J
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~e-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
U
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have hlrmshed mformation on this application which IS III the best of my knowledge true and correct. I also certIfy that I am the uwner or authOrized agent for the
above-mentlllned property and that all construction WIll conform to all eXlstmg state and local laws and will proceed m accordance with submItted plans 1 am aware that the buildmg
ufflcial ca revuke thIs It for Just cause Fullhelmore, 1 heleby agree that the CIty officIal or a deSIgnee may enter upon the plOpel1y to pel form needed mspectIons
\. ~ II (/lfo/07
Contractor's License No. Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $ I
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildllll! OffiCIal
Date
o Mise.
B
S
$
ri~
1-'J~e\1 ~
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
ThIs IS III certify that the request m the abuve applicatIon and accompanymg documents is m accordance WIth the City Zoning Ordinance and may pruceed as requested. ThIS ducument
when signed by the City Planner conStltutes a temporary Certificate of Zonmg compliance and allows constructIon to commence Before occupancy, a CertIfIcate uf Occupancy must be
ISsued
Planning Director
Special Conditions, if any
Date
24 hour notiee for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372