HomeMy WebLinkAboutBuilding Permit 08-0841
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File I PERMIT NO I I
; ~::'w ~~:licant . 0 B . 0 ~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) TOM SULLIVAN
(Address) 5911 CARDINAL RIDGE TRAIL
(Phone) 952-447-6110
BUILDER
(Company Name) GATES GENERAL CONTRACTORS (Phone) 763-550-0043
(Contact Name) JENNIFER (Phone) 651-645-3400
(Address) 3500 VICKSBURG LN N, PLYMOUTH MN 55447
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Addition o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C. o Mise:
TypeofConstructio~ I II III IV V A B PROJECT COST/V ALUE $$ 5 q a- 4 ' .3'1
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby 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 authorized agent
for the above-mentioned property 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed
inspecD~ ~ ~
X ,\(!J j D, .. "-1-~ '\.Ly
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When
Approved
Building Official
Date
lc '-7 G{5
)D. 6' u'~
Date
Contractors License No.
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 $ . (/L)