HomeMy WebLinkAboutBuilding Permit 07-0936
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'12,b7
Date Rec' d
~
File
City
Applicant
I PERMIT NO. ()-? 0930
I White
Pink
:I Yellow
(Please
ADDRESS
Y01S
W~O
s~.
W," oW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DfytlL
LI 0" S
(Phone)
q S '2 . '1 LI 0 . 4 L/ 2-1
t..a r--t ~ L t ~
\;v~ II u W '\!\H' "d
5t,
(Address)
BUILDER '~ V'lt J
(Company Name)_L,ve.et '-v.' J~(;I [onJhvk-tho;.-..
(Contact Name) _~~
(Address) ~D 1 S wl'/low w;.~d Jf,
(Phone)
(Phone)
(p S 1- L/3q AI3 20
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditIon OAlteration o Utility Conne 10
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
411lJO-
I
I hereby certify that I have hlrmshed infOrmatIOn on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authorized agent for the
abllvc-mentlllned property and that all nmstructiou wlll cont\,rm to all eXistIng state and local laws and will proceed In accordance with submItted plans I am aware that the buildrng
~IICl'lI can revoke tillS pe~lst cause F~~erebY agree that the City official or a deSignee may enter upon the prope,1y to perform needed ~~:/11s, 0-7
Si rure Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
Iluildl11g Ul1ieial
Date
$
$
$
$
$
$
1 $
$
$
ThIS IS to certify that the request In the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance Jnd may proceed as requested This document
when signed by the City Planner constItutes a temporary Certifi.cate of ZOllmg compliance and allows constructIOn to commence. Before occupancy, a Certlfi.cate ()f Occupancy mllst be
[.ssLled
Planning Director
Date
24 hour notice for all inspections (952) ....7-9850. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any