HomeMy WebLinkAboutBUILDING 08-0207
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Date Rec'd
Lf/ d-?jo?
I. Whi,e
2. Pink
J Yellow
File
City
Applicanl
[ PERMIT NO. Og _ OZO 7. ]
st
P V 101 Lt,,- ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~
(Name) l \ ~ I
(Address) 5 q s
~Ct V)~ (l \ \ f 1Z-
Cros,> V\o1Vt1
(Phone) ?J S L . \f Lf -1- . I q '6'2
LA~
( IIlV
BUILDER ,
(Company Name) S p'( , Vl~ e I EX tt'A'lv" ~ II C
(Contact Name) _~6(\ S I V U Y\ ~ y"'tII. ~
(Address) PO ~UX lRli~ 'fVldV lV\\Lt.
QS1'YLfV.jC1Clt
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch Re.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE; '&'JI.R.C. OI.B.C.
Type of c;nstruction;
Occupancy Group: A B
Division:
I
E
II
ill IV V
HIM
234
A
R
5
PROJECT COST /V ALUE
(excluding land)
s 1)100.00
B
S U
I hc.Teby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity rhar I am rhe owner or authorized agent for the
above-menlloncd propeny and that aU construction will conform to aU existing srate and local laws and wiu proceed in accordance with submitted plans. I am aware that rhe building
~--=~: qv~::cn":;. ;rth~, 1-, _..d. "0 -- iO "'40 mL;'~"~ <h. pm,,", "-=.3 Ti'i I 0 't
Si~re ~ Contractor's License No. Date
Permit Valuation Z<;'Ozj 'OiJ
Permit Fee $ 7L/. 7 ')
Plan Check Fee $ --
State Surcharge $ /, 2~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
. f/.J1j-- 11/2 ~/O f7
Buildin Otlicial Date
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 $ 7h, tJ (J
I Paid fe,. 0 ()
Date ~ 2-F(tJT
I :;e~o '35:ro/J'
J .
ThIS is to certi/)' that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutcs a temporary Certificate of Zoning eompliance and aUows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372