HomeMy WebLinkAboutBuilding 07-0937
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNERc
(N ame) . _")t'~)l..l ~ lL...J(p
\/ ~ l\~
o.JJ:-..r ru-e ~
(Address)
c
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BUILDER
(Company Name)
(Contact Name)
(Address)
SUMMIT ~11lE
I White
Pink
Yellow
File
City
Applicant
SJ.J / ,.-g :#'z....
(Phone)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe. Roofing
OAddition f1Alteration o Utility Connection
o Mise
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
II
F
1
III
H
2
IV
I
3
V
M
4
I
E
A
B
Date Rec' d
9. Zft:" 07
PERMIT NO. 07. 0737
ZONING (office use)
c4-
PID z5'. 'toZ. oz 1.0
(, CI. zs I. IS86
ORe-Siding OLower Level Finish 0 Fireplace
A
R
5
B
S U
/2aJcad-r, I.o,-AM /.p ~I th"fTiCIOY-
PROJECT COST IV ALUE $ ~S /I:)
(excluding land)
[ hereby certify that [ have furnished mformatlOn on this applicatIOn which IS to the best of my knowledge true and correct. [also certify that I am the owner or authonzed agent It)r the
abllve.mentlo property and that all cons 'uctlOn Will conform to allexlStmg state and [ocallaws and will proceed in accordance with submitted plans I am aware that the b1l1[dmg
;t1ClJl can r .0 'tillS pelmlt for J'Z...se 'rnth "mOle, I he,eby agree that the CIty offiCIal or J f~g:Oa7n;pon the plOpeny to pelform'J :sZ;:_~
Signature Contractor's License No. Date
Permit Valuation _rJ ,SOD. CO I
Permit Fee $ as. ? 5"'"
Plan Check Fcc $ 5~. 3(,
State Surcharge $ 1,50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
;?i'Ii' "on ",eo ~ =Bnil.;n, ~1;1~PPeo".
H(~lI1~ Ortlcial -4f /Yale
I
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectiOn Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
11/-7. II
q,~. 07
. ,
~'p
'11 r~
#
#
$
$
$
$
$
$
$
$
() $/tf'7. / /
I
t No. .s~"8'?
,
#
#
9. z,,-.' 7
Thls lS to certity that the request in the above applicatlOn and accompanymg documents 1$ 10 accordance with the City Zoning Ordinanc > od may proceed as requested. This document
when Signed by the City Planner Cllnstltutes a temporary Certiticate of Zonmg complIance and allows construction to commence. Before occupancy, a Certificate Ilf Occupancy must be
isslIcd
Planning Director
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any