HomeMy WebLinkAboutBuilding Permit 07-0721
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please n at bottom)
ADDRESS
/ ~ II h/oClc;l I,N e.
c'--
C;- ..:>L-
Date Rec' d
8. s.o]
I White
Pink
.3 Yellow
File
City
Applicant
I PERMIT NO. 07. 0 ( Z- J
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER J/
(Name) //'>/'/
~/lO'f~~r ~'''~~;l'1
(Address)
(Phone)
9S2-ZZ6-Y~
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conn ctIon
CODE: DI.R.C. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
o Mise.
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
1 hereby certify that 1 have nJrnishcd mformation on this application which is to the best of my knowledge trut.' and cOITect I also certify that I am the owner or authorized agent for tht-'
Jbnve~mentlLlned prDperty and that all construction WIll conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the blllldmg
official can revoke tlm permIt for Just cause Further ore, I hereby agree that the CIty official or ,1 deSIgnee may enter upon the propelty to pcrt(lrm needed Inspectl<Jns
x
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 $ I
This Application Becomes Your Building Permit When Approved
lJuildt1l~ UfIiclal
Date
Contractor's License No.
Date
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I",
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 applicatllln and accompanYing documents is In accordance With the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour notice for all iuspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372