HomeMy WebLinkAboutBuilding Permit 04-0972 (2)
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFlCA TE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec,' d
I Whilt".
Pin!:
.t YCllc.h\l
filt
Oty
Appl"ic..'\.(,t
PERMIT NO.lltl'tf~6'~~~~_~
(l'lcasc ".pt'. or prlnr and sign at bonom)
I ::::11 Apt.. 4680 Tower Street .I'l:i or J."k:. Mi uneRnt"
ZONING (office use)
55177
LEGAL DESCRIPTION (office use only)
TOI
BLOCK
ADDITION
(Phone)
OWNER
(Kame) Water Tower Place of Prior Lake
(Address)
1st National Bank bId
St. Paul
I n eLLD ER .,~~~,~.-.
. (Compdny Name) Daleo Roofing & Sheet Metal. Inc.
(Contact Name) Tim :&'1rrett
(Address)
PID
Minnesota
?51Ql
(Phone) 763-')')g-077.7
(Phone) ~.6.J2:::..~O-tQ4q - rpll
15525 32nd Avenue North, P1Y'l)cmth, Minnp..;ntrl 55447
TYPE OF WORK 0 New Construction ODed: OPorch ORe-Roofing DRf}-Siding DLower Level Finish 0 Fireplace
DAddirjon DAI[erar:ion DUlility Conmction
CODE: DI.R.c. OLB.C. rn Mise, fin; ~h rp']l1i n,d nvprflnw nr::!inc:
Type of Construction: I IT ill IV y A B
Occupancy GToup: A B E F H I M R S U PROJECT COST IV ALUE $E-.QOO. 00
Division: I 2- 3 4 5 (e.x:cluding land)
iI hCle~y ccrtifv tlut 1 h.we furnished ulformatiDn on this application which is to the best of my knowkdg~ tru~ and correct. I also certify that I am th~ owner or authori.z~d a.gcnt fN the
. "',,'.'r.mmlloncd Proflcrty and that all construction will conform to all existing state .md locallaw.l and will procce.d in accordance with submitted plans. I am aware t.hat the building
\ '~f.l~l.::.l C' \'nk~ this pml "us:t caUE:c. Furthermore, J hereby agree: that the: dty official or a. designee may enter upon the property to pcrfoml nr:cdc:d in.spl":'-cUons.
Permit V,lluation
I Pemlit Fee $
P'i,,~ Ch~ck Fee $
,---.-.,
S: d'c' S,;rc:l'Hgr I $
... ~--- "'-".-.~
PC';ldl:--, I $
I
, Plumbing Pmnit Fee $
Ivfechanical Permit Fee $
I Sewer & Water Permit Fee $
,
Gas Fnerlace Permit Fee $
- ._.~--_.- --'--
rbi, ~\l'pIJcation Becomes Your Building PermiT Wben Approved
I
b..._.~l3uilding Official
Date
l'IhiS is to cenif\, that the request in the above application and accompanying documentS is in i)Ccordllnce with the City Z(mitlg- Onli1lan(e-~cJ mow ptoCl'eol ~ req~e~r~ct, nus dn('urn<'T1~l
! ~l:~;: slgned b\' tho City Pl.1nnor constitutes a temporary Certificate of Zoning compliance and allows cOnstruction to tDmmence. :Before O(:C1JpMcy, " Certific"t." of O((Upa111:Y muor be
I
..---1
L_
n/a
Contractor's License No,
1/17/2007
Date
Park Support Fee
SAC
#
#
$
$
~.~'-'-'--'.'.' -
$
$
$
$
$
$
uL....'L
$0.00
~l
I
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Paid
Date
__________+ ~;~!PLN 0,
PL1llhing Din=c[u:"..,
Special CoDditions, if Dny
Dak
24 hour Rotke for all inspections (952) 447-9850, fa.>: (952) 447-4245