HomeMy WebLinkAboutBuilding 07-0409
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5/2-'7 /07
f7 & .CO
~i~i~e ~:~y [ PERMIT NO. ~ 7- b U{) Q
Yellow Applicant . iii' -,1 I
at bottom)
ADDRESS ,
?>\C{<!; But\('( V\l\\- C( f\J l\J
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
~~e~~OiNt:\\\
(Address)S\ q &l W>v V\\A t C V fJUJ
(Phone) CLS- d - Li4 0 -- 4 ~ ~ 4
~;~;~QCN-Yl~,\ltO~ ngl . (PhonJeSl 4 ~q I~ ~~n "
(Contact Name) ~~ (Phone) (Q <; I L{~ ~U/
(Address) <; qq S- \-\W VJ s:- \ l~(\ U E: \ ~ 1t\\J I $1) t\) { s;- SDl{ "0--
TYPE OF WORK
o Misc.
OLower Level Finish
ODeck OPorch ~ROOfing
o Fireplace DAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ l.\
OUtility Connection
o New Construction
ORe-Siding
I hereby certify that I have furnished 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 above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr pe to erfo m needed inspections.
x~i\) }
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
-
,25"
~~YO~BUilWngp;/~/:;d
'Id' om' ~ 'D
But mg IClal ate
1Si(C?
Contractor's License No.
O~r)4 / D'7
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7~. CD
I ~;:e;:'o 53l?<rS
r-.
Paid
Date
*.Oll
L 11"7
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed 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.
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372