HomeMy WebLinkAboutBuilding Permit 07-0117
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS 38'16 LJ;'/low6.XXXf s'f. }JtJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
.s fe/fzer
uJ
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
:5 \ 2- . 01
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 01. 0 I \IJ
PID z-'S'
ZONING (office use)
~.()Ii_o
C!elt 81.1 ?'G
(Phone) 6/J-t?.J.J - 1'-'
(Phone)
(Phone)
~9.5 5fl:O
.7~',~-~
763 ...39/-55'CJ8
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing [i31fe-Siding OLower Level Finish 0 Fireplace
OAdditlOn DAlteration DUtility ConnectIOn
CODE: DI.R.C. DI.B.c. o Misc.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ /oS..1"l'L)~
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certity that I have furnished mformation on this applicatlon which IS to the best of my knowledge true and correct I also certlty that I am the owner or authonzed agent for the
above-mentIOned property and that all Cllnstruction will conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
official can revoke this permIt for ust Ise Furthermore. I hercby agree that the City official or a deSignee may enter upon the prope11y to perform needed mspectllll1S
x
Permit Valuation Z,S-OO.. uo
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
:
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildmg Ufticial
Date
(). g 77
Contractor's License No.
Park Support Fee
SAC
#
#
~/'.~?
ate
$
$
$
$
$
$
$
"7 (y.
This IS to certlty that the request in the abllVe applicatIon and accompanymg documents is m accordance with the City Zoning Ordinance and may pl'llceed as requested This document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Issued
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372