HomeMy WebLinkAboutBLDG 07-0995
Date Rec' d
1 White
Pink
YellO\.~"
File
City
Applicant
PERMIT NO.014c::r ')_
ZONING (office use)
~1-/::..I/"eiJ ])Vlll'€ S ~
{2..-\
LEGAL DESCRIPTION (office use only)
LOT \. BLOCK
ADDITION
,:>~ 3 ~
PID '2. S" -
..~
OWNER
(Name) J'j""" Mc.'11er-
(Phone) Cj~2. c.;r7 7l!8'Z.
(Address)
i BUILDER , J /J /. <" J I . . J
I (Company Name)!1/~-tS.)- Ndt1y ) "/1t(1t;J ~ k!,heUw5 I'v,C-
I (Contact Name) 0~YP.>~ ~h th.~y
11.. r
(Address) 3f3 Jf {JPef507-,. {fW
(Phone) 7~ 3 '12 7 ']6<16
(Phone)
,S-S31b
TYPE OF WORK 0 New Construction OOeck OPorch e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration o Utility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$5;tJl?-
I hereby certity that I have turnIshed mformatHln on this applIcatIOn WhICh IS to the best of my knowledge true and correct I also certify that I am the owner or authollze,l agent fOI the
above.mentlllned property and that all coostIuctlOn will Cllnt,"m to all eXiSt10g state and local laws and will proceed 10 accordance with submItted plans. I am aware that the blllld10g
nthCl<ll can vo c thiS petmlt fOI Just cause FllIthclmOlc. I heleby agree that the Clty offlClalllf a deSignee may enter upon the plopelty to pCltorm needed mspcctlllns
X' Z6Jolo'z- 77 _ to~~h,--,
Contractor's License No D,~
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit I $
Sewer & Water Permit Fee I $ Other $
$ TOTAL DUE $ b-- ''-...."
Paid -tb"- J I ~~ceiPt N~~ 34-
Date o(,~/Ol
lS to certify that the request i \.lve applicatIOn and accompanYing documents is 111 accordance with the City Zoning Ordinance and may pn>cl'cd as requested ThiS document
, ocr (nl1stItutcs a temporary Certificate of ZUl1mg complIance and allows nmstructlOn to commence. Before occupancy, a Cntlficatc ()f Occupancy must be
Planning Director
Date
2.. hour notice for all inspections (952) ....7-9850. fax (952) ....7-..245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any