HomeMy WebLinkAboutBLDG 07-0563
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,~ OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
. a ~ORAall..~.it CERTIFICATE OF ZONING COMPUANCE . .
't'Wl. ~ l-c Ai UTILITY CONNECTION PERMIT
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IV, RJ ;tcc.tJb ~.:.. ?::IQ~ I PERMIT NO. 07. OS tb 31
I ZONING '--l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER ..-
(Nam.> / / m
. (Address)
==- No,",,) ~d,h;1 lie,')k C<r <I I.l><Iln<-l,IJ d/J
(Contact Name) &:" t~
(Address)56-'11 ;1;'emcr/a/ A,. /Y. ?~ 'wet.h,.
PrC>~;"l c;Kt?t....
(phone) q5:J-3?3~ y~ L/<j
(phone) u~/.~:j9. .t/3.J-O
.
(phone)
5-5t:l 6';J.-
TYPE OF WORK D,New Construction DDedc OPon:h ORe.Roofing
DAddition DAlteration DUtility Connection 0 Misc.
-Siding DLower Level Finish 0 Fireplace
. CODE: OI.R.C. DI.B.C.
Type of Construction: I
OCCl1pancy Group: A B E
Diyision:
n mIVVAB
F HI MRSU
I 2 3 4 5
PROJECT COST/VALUE S 9/ IJIJ, {)O
(excluding land)
I herrby certify Ihall haft furnished information on Ihis application which is 10 lhe besl of my knowled8e true and c:orrecI. I also certify lllall am the own~'" "I' authoriZl.-d acent for the
above.menboned propeny and that aU construction will conform to aU existina stale and local laws and will proceed in accordance wilh submilled pians. I am aware that the buildinS
official can revoke Ihis permil for just cause. Furthermore, I hereby apu lhallhe city oftlcial or a desisnee may enler upon the property to perform needed inspections.
;?-O/ 'i ,}~p.y ~-d9-07
Contractor'S License No. Dare
x
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Pennit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Buildinl Permit When ApproYed
Buildin2 Official
Dale
Park Support Fee # $
SAC # S
Water Meter Size S/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE $
ThIS is to certify Ihalthe Rquesl in Ihe above application and accompanying documents is in accordance with the City ZoninS Ordinana and may proceed as requested. This dOCllmcnt
when signed by the City Planner constitules a temporary Certificate of Zoning compliana and anows construction to commena. Before lXCIlpancy, a ClTliflClte of Occupancy must be
issued
Planning Director
Date SDeCial CoacIitiona, if IDY
24 hour notice for alllnspcdion. (~2) 447-98!1O. fill (~2) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372