HomeMy WebLinkAboutBuilding 07-0737
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Co u~t
R-~d tv\fdoJ
Date Rec' d
&. I- 07
I. While
2. Pink
) Yellow
I PERMIT NO. 07. 07311
.
File
City
Applicant
ZONING (office use)
Kl u rz. LVi /<-t
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
J
OWNER -r, I
(N ame) ...l.A' tI\ V\ V\ 0\
(Address) II 4\ Y-
Cv vt ~t
(Phone) q S. L . l2LP. 3~D G
p~\V j2..... LOI K- t
BUILDER C, .. ,:>V 0> t7 t' (
(Company Name) -::>fRH~tJ-c'lL L-j\TLI'-W/'-) I U...-C~
(Contact Name)
(Address) ? () ~O ~ lP l; 8 . f K \v IC-. L.V\ \( G
(Phone) qs z...L--j YO' / q Vjl
(Phone)
TYPE OF WORK 0 New Construction ODeck DPorch JQ1k.Rooling ORe-Siding OLower Level Fimsh 0 Fireplace
OAddition OAlteration DUtility Connection 0 Misc.
CODE: OI.R.C. OLB,C,
Type of ConstIUction:
Occupancy Group: A B
Division:
I
E
II
F
I
ill IV V A
HIM R
2 3 4 S
B
S U
PROJECT COST /V ALUE S SID 0
(excluding land)
I hL'reby certify thaI I have furnished inFormation on Ihis application which is to the best of my knowledge true and correct. I also certify that J am the owner or aulhonzcd agent for Ihe
above.mentloned property and that aU construction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. I am awate lhat the building
;cial caY;6(t~r0iJFo~ust~t Furthermore. I hereby agree that the city o~!Dr ;i]:e ts e::;r upon the property to perForm ne~r ~roctl~t'
~ Contractor's License No. Date
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildin!!. Ollicial
Dale
Park Support Fee
SAC
#
#
Water Meter SizeS/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
thIS is to certify lhatlhe request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requL'slcd. This document
when signed by the City Planner constitutes.. temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Dale 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