HomeMy WebLinkAboutBLDG 07-0890
OF PRIOR LAKE BUILDING PERMIT,
CERTIFICATE OF ZONING COMPLIANCE
UTILITY CONNECTION PERMIT
Date Rec' d
A vC He
I
H,'oIL LA/&. ;UAi 55372-
I
1- White File I PERMIT NO I
; :;.,w ~~;liClnt . 0/ - ff10
\ WNING,--' I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER. .
(Name) IA..J \ tl"o(\ YY)
(Address)
GY'{e--I\
(Phone) '/5,^ - '-1-1./:; - o~.5 3
(]m, 95 ;;L JfS I - 3 Lf 3~
\ a. \(e. .r
BUILDER
(Company Name) eN Vlf/-O MEN TfJL .s;TONC IAJoJ/t.k....s (Phone) (oS; 1.- d-'J.. 7 - '6770
(Contact Name) Gi.GNN yYJ6ILcofYlb ----~ fEI.L(Phone) &51- .;.21..(9'- 4crC,,"Z..
(Address) 5' 35" 11D/t.. M'L+ C11h I3ItAAXH- Al
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing 'mRe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc. r>
CODE: OJ.R.C. OJ.B.C.
Type of construction: I
Occupancy Group: A B E
Division:
n mIVVAB
F HI MRSU
1 Z 3 4 5
PROJECT COST /V ALUE S
(excluding land)
f. rV"r\ gz.-
,:><.J.....AJ
x
~ ~ - \<;3?> --\S' I
Contractor's License No.
Permit Valuation 0
Pennit Fee S
Plan Check Fee S
State Surcharge S
Penalty $
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
Park Support Fee # S
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S 7fn~
,.....-.
\ Paid
Date
.~
~NO' $'Q(' <(8
5 Your Building Permit When Approved
ThIS IS to certify lhatthe request in the above application and accompanyinB dOC\lmenlS is in accordance with the City Zoning Ordinance and may proceed as requ...ted. This document
when signed by the City Planner constltutcs a temporuy Certificate of Zonill8 compliance and allows constrUction to commence. Before UCCllpancy. a Cl'l'liflCl1tc of Occupancy must be
issued
PlanninB Director
Date Special ConcIitiOlll. if lIIIY
24 hour notice for all inspections (~2) 447-9850. fax (~2) 447-4145
16200 Eagle Creek Avenue Prior Lake, MN 55372