HomeMy WebLinkAboutBuilding 07-0463
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
(/_8.07
I ~;:::;~~ \J\~~~~
I. While File I
2 PinIl City PERMIT NO. 0'7 04-&3
) Ytl10w AppIicuI .
I ZONING'__J
LEGAL DESCIUPTION (office use only)
LOT BLOCK
ADDmON
(phone) LD\8- 9v\-,t\\o\
pm z r \ \ 34. {) 6 4-- _ -c.
1=:\~~\~~~~~~~~~0t ~}
(phone) -Li19 ~ ~~\- \~f:'f-)
(phone)
\Y!N
TYPE OF WORK 0 New Construction ODeck OPorch l!IRe.Roofing ORe-Siding OLower Levd FinIsh 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.C.
Type of Ccmstnu:tion: I
Oc:mpanc:y Group: A B E
DiYisioa:
n mIVVAB
F HI MRSU
1 Z 3 4 5
s .L\ ,~, r\')
PROJECT COST IV ALUE
(exclwlingland)
( hereby ccrtiIY that (baY!! liImished information OIl dtis application whicb is to the best of my tnowIcdIr InIC and mrm:t. (also mtify that I am the uwncr Ill" autltllrJm1 aaent fOr the
above-mmttooed proptny and that aU COlISI1'UCIioIl will COlIform to aU existiJla state and local laws and will prlICeed in ICl:IlrdanI.'c with submitted plans. (am aw_ that the buildina
. r. it fOr'ust QUO P~. (hereby qrer thatlbr city ofIicial or a ~ may\ en~ upon lbr proprny to perfOrm ~ 6"5. "
X . I. --b.L.ti-J...L.l.- - --- ') .{j l
Sipature ContrlClOl"s LicaIse No. Dale
Permit Valuation
Permit Fee S
Plan Cbeclc Fee S
StateSurcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer &: Water Permit Fee S
Gas Fireplace Permit Fee S
T1ds Applic:atioa Becomes Yow Buildinl Pemdt WIIea Appnwej
Buildil\ll Offi~ia1
Dale
Park Support Fee ## S
SAC ## S
Water Meter Size 5/8"; 1"; S
Pressure Reducer S
SewerIWater Connection Fee ## S
Water Tower Fee ## S
Builder's Deposit S
Other S
TOTAL DUE S
nus is 10 ccrtiIY tIlat tbr maursl in the above appIiration lad accompanyina documents is in ICl:IlrdanI.'c with tbr Cay ZooinS 0rditIantt and may pI'OCm1 as m(UCII\'d. This document
when sipled by 1br City PIannrr c:onstitutcs a trIII(lOUIY Crrtifil:atr of 1.oninI rompIiance and aIJows ronsuuction to c:onunent'e. kfore oexupanc:y. a Ccrtificatr of Occupancy must be
issued
PIatuIin& Dinlctor
Date S CoaditioaI. if lIlY
14l1ot1r nollce for an inpecllon. (951) ..7-98.... fal (951) ..7-4:US
16200 Eagle Creek Avenue Prior Lake, MN 55372