HomeMy WebLinkAboutBuilding 07-0743
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE, .
AND UTILITY CONNECTION PERMIT
P p.....\LW()Od
(.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID .z.~. 5' 7 . dO 7. D
BLOCK
L WIlill Fill
2. Pink City
) Yellow Applico..
Date Rec'd
'6/~/o7
I PERMIT NO. 07- D7t.f31
I ZONING '--l I
OWNER.
(Name) C ~ 1\ d c, '^ d It' i ( I" Fe I d ~
(Address)
BUJLDER
(Company Name)
(Contact Name) (If t
(Address)6&l// /JJemtJr/a/ /fro /Y.
TYPE OF WORK DNew Construction DDeck Dporch
DAddition DAlteration DUtility Connection
. CODE: '6tII.R,C. OI.B.C.
Type of Coust:ruction: I n
Occupancy Group: A B E
Division:
ill IV V A B
HIM R S U
2 3 4 5
(Phone) (tf52 )tfLfo- 2 q()2
(phone) 1/6/'?i.:J; 9. .if 3,,)()
(phone)
/ :5-S() 8' ~
OLower Level Finish 0 Fireplace
PROJECT COST/VALUE S
(excluding land)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and comet, J &Iso certifY tbat I am the own~'I' or authorized agent for the
above.mermoned property and that all construction will conform to all aistina state and local laws and will pI'OCftd in acc:ordance with submitted plans, I am aware that the buildinS
offIcial can rrvoke this penn~ just cause. Furthermore, J hereby asn:e that the city ofticial or a designee may enter upon the property to perform needed i~ons,
X J!/ MJe ~rJYHi"? ct/1/tl
II Signature Contractor's License No. Date
Permit Valuation d)50C1,OO
Permit Fee $ 7'-/. 7 S
Plan Check Fee S
State Surcharge $ / , 2.. ";
Penalty $
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee $
This Application Becomes Your Buildlns Pmuit When Approyc'
~~n20~~ ?/9t.~7
Park Support Fee # S
SAC # S
Water Meter Size 5/8"; 1"; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE S 7t, .f)t)
I ;;:.~~~ I ~~.~<KU
~.t -;it 2-'390 I
ThIS is to certifY that thc requcst in the above application and accompanying documents is in accordance with the City ZoninS Ordinan~ and may proceed as requL'SlCd, This document
when signed by the City Planner constitutcs a temporary Cc:rtillcate of Zoning compliance and allows construction to commence, Befon: occupancy, a CL'rtiflCatc of Occupancy must be
issued
Planning Director
Date Soecial C<JllditiOllJ, If my
24 hour notice for all Inspections (')!Ill 447-98!1O. fax (')!Ill 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372