HomeMy WebLinkAboutBuilding 07-0517
JUN-20-2007 04:09 PM
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I PERMIT NO. () '7 05/7 J
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ZONING (nmre ulr)
LEGAL DESCRIPTION (OmCf liSt only)
LOT
ADDITION
PID '2 -b. 339. () / ~ - 0
BLOCK
OWNER
(Name)
1/57 ~J/O.. .I '2 r-2)
(Phone) 711 ! -'&> J) (.
(Address)
,. Phon% 5:_~ - 1S-.7 ~~
~ (Phone)7:>Jr 'J.~ to - sur 3{)bc.( if
o New Construction
OAddilion OAlteralion
ORe.Sldlng DLower Level Finish 0 FireplaCf
CODE: Df.R.C. Du.c. o Mist, .._..____.___._....__.
Type ofCoo8tnscclon: I n III IV V A B PROJECT COST IV ALUE S
Omapaney Group: A B E F H I M R S U (ncllldin.land)
Division: I 2 3 4 S
I herc\'>y C"Cnify Ih~1 , lIave t"",i.lled infllrmllinn nn Ihi. .pplielli<Jn which i. In lhe l>pst llf my knClwl,'lIg" true and e"""ct. I AI." ccrliry dUlll Am the lIWnl'f or AlIthnrl~ed nllCnl fOr IlIe
a!lo)vt.mtnlloned properly And thnt nil cnn.rruClinn will conform 10 all eX~\Ing Slate M(! Inc3113W' alld will proceed in accnrda"tc wllh ll\1bmitll'd planA. I am .wAr~ Ihlllhe ~\1iJdin~
j"~' ",,'" m. "'... O. "., "". ,,,...~., ,..., ",re m" "'.. ,m.", .. ~. ~, m'. "m m, _." ""~ "...., ~p.."m'
'__00'_..__'__ .___ -li. rx: C;(O/71 n / _
Si,nature Contractor'S Licenae No. Date
Pennit ValuQtion
Permit Fee $
Plan Check Pee S -
State 5urchllrl!e S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Wal!!r Permit Fee S
GaR Firepla~~e Permil Fee S
Park Support Fee
SAC
;I
#
Water Meter Size 5/8"; 1";
Pre~sure Reducer
Sewer/Water Connection Fec
Water Tower Fee
Bujlder'~ Deposit
Other
TOT AI.. DUE
#
#
Thts A"Ueation Become. Your BuUdinll Permit WIlen Approved
Illlildil\ll Ofl1cilll
f)lIte
$
S
S
S
$
S
$
S
S
T"~. I~ In ccnify Ihftllhc rC~\U'llln rhe .\low Aptllicallon and AWlm\lAnyillR d'lelll',enr, I, in ~ccnrdnnce wirh the Cily Zoning Ordinance and may ""l)ceed ftj r~ql'c"ed, Th" cho<:,'mclIl
wlwn 'illncd by Ihe CilY Plnllncr CI1""'II1IC' 3 Icm~lll'ary Cenincatl! (If 7..onln, Cl1ll\l"lInnce and allnwl conllnlclinn In commence. Befilre lIcCIll'ancy. a C",'tilt('atl' .11' OCC\l~Rncy mUll be
1"~lled
Dlle Sll8Cial ConditiOns. if any
:Z. hnur nnll"" for IlIln,pectlnn, (9~11""'.911!in. ra. <"2) ....7...2..li
4646 Daltola Street Prior Lake. MN 5S~72
Pl,nnln. Director