HomeMy WebLinkAboutBLDG 07-0797
S-'"1~.OO
1.'ZJ4~
OF PRIOR LAKE BUILDING PERMIT,
iY CERTIFICATE OF ZONING COMPLIANCE. .
UTILITY CONNECTION PERMIT
L{Sl'l
P tl' y t w p c d
Dr.
Date Rec' d
9. zo. 07
I. WIIit. rd.
2. Pink City
J Yellow AppIaN
I PERMIT NO. 07. 07Q71
I ZONING ,...._, I
jf
LEGAL DESCRIPTION (oft'ice use only)
LOT
BLOCK
ADDITION
PID
OWNER \
(Name) _, lr I,'-e
(Address) l{ S"1 'L
[ y" ( It- S1Jv-.
PICy tw~od
Dr, 5f"
(phone) ( If 5 ,--) ~ t.( 0 - So 1 rr
Bun.DER
(Company Name)
(Contact Name)
(Address) 5~l//
(phone) LtG1 d/?/J. '7.3..H)
(phone)
.tV 6-:StJ 8' ~
TYPE OF WORK D.New Construction ODedc OPorch ORe.Roofing NRe.SidiDg OLower Level Finish
OAddition OAlteration OUtiliry Connection 0 Misc. rc
. CODE: OI.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A 8 E
Division:
n mIVVAB
F HI MRSU
1 2 3 4 5
o Fireplace
5]040
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and c:orrect. I also certifY tbatl am the owner Ill' authorized &&ent for the
above.mmtJoned property and that aU construction will ClII\fonn to aU existiq m~ and Iocaliaws and will procmI in accordance with submitted plans. I am aWI~ that thc buildinl
,;",~~:!J'.z --.I_...........;;;~~y'?"'_....-~-gW 01
SignatuJe Contractor's ~ No. Dall:
Permit Valuation
Permit Fee $
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee $
This Application Becomes Your Buildlns Pmalt When Apprond
Buildinll Official
Olle
Park Support Fee # $
SAC # S
Water Meter Size 5/S"j 1 "; S
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE $ / c,. cf7}
~t7
I ?!-NO. 91n 7
I Paid
Date
nll5 is to certifY that thc request in the above application and Attompanyinl documents is in acconIaJu:e with the City Zenina Ordinanel: and may proceed as reqUCSled. tbiI document
when sillned by the City Planner constitutes a tmIporary CertiIlcate of Zoninl compliance and aUows construction to commence. BefOR umJpancy, a CcrtirlClltc of Occupancy must be
issued.
Plumina DiRctor
Date Specja) CoIIditlons. if IDY
24 hour notice ror 11IInspectionl (~2) 447-98!1O. rlx (951) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372