HomeMy WebLinkAboutBuilding (fire suppression) 07-0102
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3 5'01
I r);J(
I. White File I PERMIT NO
i ~"I;,w ~~;Ii..m . 07 0 ( 07-
(Please tvoe or mint and sign at bottom)
ADDRESS
71V I IV {i /j Ic.s
/1'110 V (. E" S('rt 0 (I L-
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ~- 039. C; 7.-2- .1
OWNER
(Name) I S C) d:! =t I q PVl (),.- I o"JU
(Address) 5?:::i..')() A) 0 /,I-r A )() t'} rI
.~( jr'l)\ I ..~
nn L"J(' ~ j....;
(Phone)
I BUll.DER
(Company Name)
(Contact Name)
(Address) 321
o L S (I Iv ?~ /2& 1-"/0(1 j~ L-77 0/\/
C'IZ.33/..3I/1
(Phone)
(Phone)
.:;-;--. PrtU,- 6.54/3
t // i cJ () IV'S-:-. (
TYPE OF WORK 0 New Construction ODeck OPorch o Re.Roofing ORe-Siding OLower Level FiOlsh 0 Fireplace
o Addition OAlteration OUtility Connection @3 Mise, (:/ \1'(" S vrfv,,,V.;/'~
CODE: OJ.R.C. OI.B.C.
Type of ConstIUct:ion:
Occupancy Group: A B
Division:
:2.. C;[) <lJ
\ } '"'~
PROJECT COST IV ALUE S
(excluding land)
I
E
IT
F
I
m IV V A
H J M R
2 3 4 5
B
S U
1 I h~'1'eby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorJzed agent for the
above.mentlOned >"v>"..j and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
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Signature G Contractor's License No. I Date
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I ~ :SD ~...!.
I S L!=> . 00
I $ Ilt! 2-5
IS ,Su
I S
IS
I S
I S
IS
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I S
i S
is
is
is
is
is
i $
is
#
#
#
#
4i. 7S
'\
This Application Becomes Your Buildinll Pennit When A"" .. ~d
1/'.1 -/1--,
- 1- -'
?). >. D/!
Paid
Date
I Rec,t No.
Bv i/,
/1
\)
~-; z.. tj) f; I
Buildinl! Otlicial
Date
. ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ~'Stcd, This document I
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special ConOiiions, if any
24 hour notice for all inspections (9~2) 447-98!iO. fax (9~2) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372