HomeMy WebLinkAboutBuilding 07-0586
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5(p?f1'01 K(in~
Date Rec' d
k~ 'i 1& ,00
CtecK-JL t {PIP ltJ J
I PERMIT NO. 07, 05B ro I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1_ White File
2 Pink City
3 Yellow Applicant
ADDRESS
35d5
e SLJ
1Jr,' r~ 0037.
LEGA?t;9ESCRlPTION (office use only)
LOT 0 BLOCK ~ADDITION
fL2
OWNE~ .
(Name). , n
VlLL
PID
(Address)
kr,'nmp
fuS8cUo
(Phone) 501-<-~I-qgOO
BUILDE~ .
(Name)-J1e'na.i S func t Exter r lJrS
(Contact Name) --.8csi eSncok
(Address)
G (office use)
(Phone) 7lfla--'~O, JmO
(Phone) 1(,.1- 4~3-05fJCf
9
TYPE OF WORK
o New Construction
ODeck
DPorch
ORe-Roofing
DLower Level Finish
o Fireplace
DAddition
OAlteration
PROJECT COST IV AL UE (excluding land) $
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 property to perform needed inspections.
x~n Sltczot
- Signature
dOddO;;;~5
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Park Support Fee
SAC
#
#
,<;
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
Paid
Date
~~. r
ft?( 01
I Receipt No. ~oqc;-
By (Wt
e-Siding
OUtility Connection
&>/;)'1/0 J
Date
$
$
$
$
$
$
$
$
$
This is to certify that the request in the above applicatlO ompanying 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