HomeMy WebLinkAboutBLDG 07-0910
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
CERTIFICATE OF ZONING COMPLIANCE
TILITY CONNECTION PERMIT
(J\~o.~o..Y1 \-
S\- *
LEGAL DESCRIPTION (office use only)
~
1 While
Pink
Yellovi
File
City
Applicant
\ PERMIT NO. ~( _ 4..10
f(\D( Lo-.'f-e.. 0~ C:;6'37
ZONING (office use)
R-2-
LOT BLOCK ADDITION '5 Cv\ 7- "V/J 114- PID . _qo2- -0 ~7-o
OWNER ~cn Y\ Y- 0.:< -e (\ WO\((<<\
(Name) ~ (Phone)
(Address) l{~ ~ e (A '3(;\ f\-t- <)t--. t'(\v r N CS5:'T~
CD.9S\-~ne. Bro~) (OY\\-<o..C\-' Yl' jLVK.(Phone) C\S?---l.-{ b~- LoY ~ C\
M.~\(-~ \Jc>e.\lx\L \ (Phone)
~~ \, ""t.cllA.\ \0-.. ~. L-o-.'f--<-V\ \\~
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 FIreplace
OAdditlon OAlteratlon OUtility Connection
N
S'3OL-\'
CODE: ~.R.C. DI.B.c. o Misc
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
1 hereby certify that 1 have hlrOlshcd mformation on this application which IS to the best of my knowledge true and c()rn~ct. I also certify that I am the owner or authonzed agent for the
dbllve-mcntlOncd prllpcrry and that all wnstructlOn wlll conform to allexlstmg state and local laws and will proceed in accordance with submitted plans I am dware that the building
()fticial can revn 'C tlus permIt for Just cat sc Furthermore, I hereby agree that the eny official Of a deSignee may enter upon the propet1y to perform needed mspcctllll1S
X ., _ ~. ~OloO qq(oT _ ql~\ID~
tf Slgk{ture Contractor's License No Date
Permit Valuation Z5()O. -
Permit Fee $ 14. ,('
Plan Check Fee $
State Surcharge $ --
I - '-- "l
I Penalty $
! Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee I $
Gas Fireplace PermIt Fee $ I
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit i $
Other $
TOTAL DUE $ "7~- ...
Paid
Date
i/t> - -
q 1.-1101
~~ceIPt No, tt;~b
ThIS IS to certify that the request m the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed hy the City Planner cnllstltutcs a temporary Certiticate of Zomng compliance and allows construction to commence. Before occupancy, a CLTtlticatl' of Occupancy must he
issued
Planning Direetor
Special Conditions. if any
Date
24 hOl1r notice for all inspections (952) ~47-91150, fax (952) ~~7-~245
4646 Dakota Street Prior Lake, MN 55372