HomeMy WebLinkAboutReRoof 06-0984
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
=~-:.~
I~~ }:p.H ~'ie,
10 . :3 0 . 6b
I. WIritc Pile
2. P\nIc City
) Yollow Applicllll
I PERMIT NO. ~ ,0984-' I
I I ZONING,_-, I
\\l\\.)
LEGAL DESCIUPTION (office use only)
LOT BLOCK
ADDITION
PID :;' \" :;"'2.005. ()
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o Y\~Y- ~t. ~ S. -
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(phone) \ ,- \ - . c:
TYPE OF WORK 0 New Construction ODedt OPorch .Roofing
OAddition OAlteration DUtility ConnectiOn
OLower Level FinIsh 0 Fireplace
CODE: OI.R.C. OI.B.C.
Type of Coastruetion: (
Ocatpancy Group: A B E
Diyisioa:
n mIVVAB
PHI MRSU
1 Z 3 4 5
PROJECT COST/VALUE S
(excbuling land)
I bcRby certiIY that I have furnished informatiOll on this applicatio1l which is to the best of my tnowJedar UK and axm:t. J abo certifY that J am the owner ... authorizrd acmt for the
above-mmuoned propet1Y anti that aU constr1ICtiOD will t:OIIform to aU exislinl state and Joc:aIlaws anti wiD proceed in act:tlrlIantt with submitted plans. J am aware that the buildin.
oft"lCia1l'aD revoke this permit for just cause. Furthet1llOle. I hereby ..- that the city ol'IicW or a desipIee may enter upon the property to prrform needed msp<<tions.
X . ~ t~\\ C)C'~ 2 L~ 2-tfL
S. CoIltrlCtOr's License No. Dace
Permit Valuation l.:\. ~e:..tt>
Permit Fee S~ \ \). O\::'L'
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer &: Water Permit Fee S
Gas Fireplace Permit Fee S
This Applialtjon Becomes Your B1dItUoa Permit WIleD ApproYd
Buildinl. Official
Date
Park Support Fee # $
SAC # S
Water Meter Size S/8"; I"; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE S '1td.cJO
I Paid
Date
~~,o 0
I .30.0&
tfNO
sz,ft? 1/
TbJs is to certify that tbr request ill tbr above applil:ation and acxompanYinl documents is in act:tlrlIantt with the City Zooin. Ordinan<< and may proceed as requested. This doc:ument
when siped by tbr City Planner ronstitutcs a temporarY Cettificate of Zoniq compliance and aUows constnICtion to c:onunence. BefoR o<<upancy. a Cct1ilicate of Occupancy must be
issued
PfuBins Director
Date SoecW CoodiCion&. if DV
24 hoar notice for all i.spectlolls (951) ....7-98!iO. fu (951) ....7-4145
16200 Eagle Creek Avenue Prior Lake. MN 55372