HomeMy WebLinkAboutBuilding 07-0386
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5- 2/.'7
I. WIIil. Fil. I PERMIT 0 I
~ ~~~w I~~i<lm N . 07. 03g 0
Please
ADDRESS
L{ ~},7 f~ /r::' vJDoof 6 Yv SL 7y;-o y La K'r /Yl N S-s- 37'2.
I ZONING coma -l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2 S- 3/7. b I <.. . 0
OWNER
(Name)
(Address)
-- . c:r5~ _ f/ ~D <(;/ ~ L
- -------
hid'{ ~~3-)d
(Phone)
-Bun.Dii- ~ . L' ~j I
(Company Name. rr;~:?2.n- I (\{/~{ n , Y1 ( ,
(Contact Name) n fY\()5
, -
(Address) d-d--d-~ <:. ~ VVl Is In
evb
(PhOne)G{~, l ~J/ss2( ~
5tL~
(Phone)
07
TYPE OF WORK 0 New Construction ODeck OPorch ~e.Roofing ORe.Siding OLower Level Finish 0 Fireplace
( OAddition OAlteration OUtility Connection 0 Misc.
CODE: OJ.R.C. OJ.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
ill IV V A
H J M R
2 J 4 5
B
S U
PROJECT COST IV ALUE $ ~) SO i) - DO
(excluding land)
furnished information on Ihis application which is to the best of my knowledge true and correct. I also certify that I am the owner tlC authorlzl'd agenl for the
and construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
mit just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
3i~o; 3-3)-D7
Contractor's License No. Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
TIlis Application Becomes Your Building Pennit When Approved
Building Ollicial
Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ? (p _ (I (/
I Paid
Date
1
I Rt.iPt No. .5:3e/;
o
J~~~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 requl'Stl'<l. This document
when signed by the City Planner constitutcs 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 (9~2) 447-9850. fax (952) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372