HomeMy WebLinkAboutBuildingPermit 07-1091
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1~Y(11
Date Rec'd
If. 9. () 7
(Please
ADDRESS
\...., 2- ~ '1
v\ t W
LOT BLOCK ADDITION PID
OWNER Gr'^lt- ~tt-t' -l~C- t2 ~dL-S q r; 2- '1'10 --1 g" G,
(Name) .} (Phone)
(Address) II 21'1 /Nt'l1dvllW cl.
LEGAL DESCRIPTION (office use only)
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. () 7. I d r /
ZONING (office tlse)
[4.
BUILDER
(Company Name)
lIJlt{~ ~d [O....~fvlA.{-h'tt~
(Contact Name) jtA.rlA-
)~YI f~rltL/ Av< N.
(Phone)
(Phone)
(pc; 1- 'I39~ ill Z()
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddioon OAlteration OUtility Conne~
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
I
E
o Mise
B
S
S" } 2,'1-
$
PROJECT COST IV ALUE
(excluding land)
U
I hereby ccrtity that I have turmshl'd mformatlOn nn this applicatlon which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent t~)f the
ab"w-mentlllned property and that all eonstructlUn will conform to all eXisting state and local laws and wIll proceed 10 accordance with submitted plans I am aware that the bluldrng
"tflcial can revoke tillS permit for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propeny to pert(Jrm needed rnspectlUns
X ~ ~-lL '202<62-'-1g'1 L(Jlll/0J
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
lluildlllg Ul1lclal
Datc
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 to certify that the request 111 the abuvc applicatlon and accompanYlllg documents is in accordance with the City Zoning Ordinance and may procecd as requestcd ThiS document
when signed by the CIty Planner constItutes a temporary Certiticate of ZOl1lng compliance and allows construction to commence. Before OCCUP,l.I1cy, a Ccrtlticatl' of Occupancy must be
Issucd
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372