HomeMy WebLinkAboutBuilding 08-0192
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Apr '2.L U8 U~:J~p
Abelard Construction Inc
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Dale Rec'd
CITY 01< PIUOR LAKE BUILDING l'ERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCF,
AND UTILITY CONNECTION PERMlT
4-,2 2.-.08
..t '-tom)
ADDRESS
/4-950
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
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~~~~~ Namet119f [fj /t<-{ ~lY7SJrUCi~c~-...'/._I}I~___ _~. .._____. (Phone) .7tv3..223 G-,Iein . ~
(Contact Name) .--h~7)..,-1m-d !((..;.)____________________ (phone)__fL'/7- .)7/-7L!L2~_____
(Address) (/;:)w :'SfuAy:LL tv d: Rukt'--"j 11 9-b~____=___n_J!2!J:!.:.tluD_Cl:L._ J''J.7n c;s Lf '3( , .
J f 'J -
OWNERJ ',r
(Name) . tJ-\
~ 'Co..f \(~
'L~ Y'---
(Address)
TYPE OF WORK 0 New Construction DUeck Dporch gjR('-Roofing ORe-Siding OLoWCl Lcvd Finish 0 FiTcplacc
OAddition OAltcration OUtiliry Connection
CODE: DI.R.c. OI.U.C.
Type of Coostmction:
Occupancy Group: A.B
Division:
~. E~: ~S;mnl ~RMIT NO. 08. 0' Cf ?J
J}'Q[I.R~.~
ZONING {offi~ \1."")
PID2S, 258. Oo~. 0 l
," . (Pho~)'1S~l{LIO . &, 33 d . ~
~y (0-10... <<In s5~ 7~
[] Mi.= -~----~"_.
I n HI IV V A B Q583. . '
E F II I M R S PROJECT COST/VALUE S ....
U
I 2 3 4 5 (acllllling land)
--~--~._--_._---
I httd1y cntify [hat I have fumhhro in~on on this a['l1lhtion which iPs to !he best of my knowl.dj; true and = I also crrtify [har J am !he ownc:r or au!horiud ~t ror 1~~J
abov""~. UOIIIed propeny and lILa. t all mn5truction will ronfurro 10 all exi<ting stale and local laws and will f'IOCttd in aa:ordana with suhmitled p181l5, I am aw"", rhal the olltlding
official ~=~l<;t~, Pwt~~orr. I hcrd1y agree Ihar lhe city officiAl or a designee may enlt!' upon me JlIOI'CIly to perfurm rleOOed inspcctiO'l1S
X u --e1A-€~tlD __________JQ_~2S/ 3'J.~_ __ 4):>> k-f-
Signature ContnctOT's License No_ Date
~rmit valuation
Permit .Fee -
S
Plan Check Fee --
S
State Surcharge $
Penalty $:
Plumbing Permit Fee $
Mechanical Permit Fee .o,
S
Sewer & Water Pennit Fee $
Gas Fireplace Permit fee $
Thill Applicalicm Becomes Y1tUC Building Penn it Whtu Awro""d
Buildin OffJCial
Dale
This is to certify tlal the rrqllCO<t in tbc ~ nPl'licacion and aa:ompanying documo::nlS t, in aa:ordana: with Ihe City Zoning Otdin.tn<'X: and may procerd as reque!Ud, nus docnment
when ,.goed lry!he City Plaanc:r mn.'<tin,lcS .. "'mpurorry C~6caIJ:: or Zoning rompliMltt and allo.." ~on to commence. :oero.-e occupancy, .. Coii6calc or OtnlJ"'nry mmt be
issued. .
Park Support Fee
#
s
--~---
.$
--.---------..-
1:
.$
$
SAC
#
WaterMeler Size 5/8"; 1";
Pressure Roouc:cr
SeweriWaler Conne<.1ion Fee #
Water Tower Fee
#
Builder's Deposit
Other
TOTAl. DUE
l'lanningDiroctor
--- ----"o;.~-~ ----~-~iltco;;~lfiJiy
24 bOllr nOllet for all in~prrtion~ (952) 447-9850, fu (952) 447-4245
4li46 Dakota Stret! 8.E., Prior L.."., Minnesota 55372