HomeMy WebLinkAboutBuilding Permit 07-0784
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
~'7
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Date Rec' d
8./&.07
I White
Pink
Yellow
I PERMIT NO. D 7 . ~ 784-1
File
City
Applicant
ZONING (office use)
?'r/
I'-
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
LVLS/vT/J
/?? ;.-~ /t..?
? ~ o/'..e; yo
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditlOn OAlteration o Utility ConnectIOn
7 t5 3 - s-n -P,? t::'r
5", //::,L (Phone)
(Phone)
/fA /f/
oS' YY"/
ORe-Siding OLower Level FinIsh 0 FIreplace
CODE: OI.R.C. OI.B.C. o Mise.
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have ttJrnIshed mformatIon on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner Of authorIzed agent for the
ahovc-ment1l1ned property and that ,1ll C<lnstruct1l1n will cont()rm to all eXIsting state and local laws and will proceed In accordance wilh suhmItted plans I am aware that the hlllldllJg
()fticial can l"evnke thiS permit for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propcI1y to perform nceded inspections
X /C3~ /.-
'"
v; ,l!j7a-?~r:
Signature
c;>%- /'6 -C77
Contractor's License No.
Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
:
I Plumbing Permit Fee $
f-Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ i
This Application Becomes Your Building Pennit When Approved
Huildlllg Urtlcial
Date
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 In the above applIcation and accompanY1l1g document.s is 111 acCt)I-dance WIth the City Zoning Ordinance and may procced as requested ThlS document
when signed by the City Planner constItutes a temporalY Certiticate uf ZLHl1ng compliance and allows construction to commence Before occupancy, a Certlficatc of Occupancy must be
isslled
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372