HomeMy WebLinkAboutBLDG 07-0959
OF PRIOR LAKE BUILDING PERMIT,
JE~ORAR ERTIFICATE OF ZONING COMPLIANCE
IOl ~{~~~~AND ILITY CONNECTION PERMIT
o/1ofof PI;
Date Rec' d
I PERMIT NO. 07.0957 I
I ZONING ,- _l I
1. While File
2. Pink Cily
) Yellow Applicom
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
IO~ ·
(Name) :J.,..\'r rod. {;: d,..,
(Address) ':?
BUll.DER ,
(Company Name) (.L, ~l.C)o-A""" '":R~~~..Q\.f"\~
(Contact Name) ~s €
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration ~~nn
. CODE: DI.R.c. DI.B.c. ~
Type of Construction: I IT m IV V A
Occupancy Group: A B E F HIM R
Division: 1 2 3 4 5
(Phone)
(Phone) C}5:! f?~i' - SS~ ~
(Phone) "I 3A8 - &Sl.. -
p\ t.:) 55 'f ~b
OLower Level Finish 0 Fireplace
B
S U
PROJECT COST/VALUE $ I~ 900
(excluding land)
t> L
I h~Teby certify thaI I have furnished infonmtion on this application which is 10 the best of my knowledge true and c:om:ct. I also certify that J am the owner or authorized agent for the
above-menn PCit)' and that aU construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official v e is permil for just caus Furthermore, I hereby agree that the city official or a designee may enter upon the property to pcrfurm needed inspections.
X A' r a04-y,'30,=, <e /0-;) ,67
S' ature Contractor's License No. ~ Date (
Permit Valuation
Pennit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Pennit Fee $
Mechanical Pennit Fee $
Sewer & Water Pennit Fee $
Gas Fireplace Pennit Fee $
This Applkatlon Recome5 Your Building Permit When Approved
Building Otlicial
Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other S
TOTAL DUE $
ThIS is 10 certify Ihallhe request in Ihe above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requl.'Sled. This document
when signed by the City Planner constitutl.'S a lemporary Certillcate of Zoning compliance and aUows construction to commence. Before occupancy, a Cl'l'tiflCi\te of Occupancy must be
issued
Planning Director
Date Special Conditions. if my
24 hour notice for all Inspections (9!12) 447-98~. fax (9!12) 447-424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372