HomeMy WebLinkAboutBuilding Permit 07-1078
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CI1~HTlFICATJi: OF ZONING COM:'L1ANCI~
AND UTILITY CONNECTION PERMIT
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\5teDG, Sk'thne Ave. N.w.
LEGAL DESCRJPTlON (omce use only)
LOT
BLOCK
ADDITION
OWNERI'\) \. \
(Name) f\O.uVrt"
(Address) ) 5 G, 0 G
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2> k y h (1 f' r3r.\J e. .
Dun.DER \ . ( \ \, c.-) r.
(Company Nal11e)_~~~tCllKU bUll -\-.(\5 __ ___
(Contact Name) m\l\.-€.. E. __.~.u_
(Address) X) l!:L_Capr ~(j _ 0\. \{,:':'-"-\
I'I'~RMIT NO. 7. I 078
ZONING (omce ,,,e)
I'IV
(Phone) q5~-#7- K33;t
N.W.
(Phone) 0.51:- :25 I - 09...LO
___n_.___ (Phone) 1..0.5) - ,;,{ S J - OCUQ__ ......__.
t'V\ N . S 5 II t./;......
TYPE OF WORK 0 Ncw ConSlrUClion OD,'ck o Porch ~Re.Roofing []Hc.Sidiug Or,ower Level Finish 0 Fireplacc
DAddilion DAllcration DUtilily Connection
IDE: DI.R.c. Dl.B.c. o Mise:
jlC of Constmction: I II III IV V ^ B {Po 201.00
_Jccupancy Group: A D E F II I M It S U PROJECT COST/VALUE S
Division: 1 2 3 4 5 (excluding land)
I herehy certify that J havr furnished infbrmation on this application whirh is tn the best ormy kllrlwlnlf!l" (nle and conect. I also certify that I am the owner or authnrizr:d ag<"nt for the
ahove.mentioned propt'rty and that all construction will canl'hrm 10 al1 ('xistin~ ~(,'Ir. and lo('alla\.V~ .".d will proceed in accOF.f.lnre with submitted plans. I am awal-c Ilut thr huilding
official ran revoke thi!' permil for just cause. Furthermore, I hl'rcby itiwee that tht, rily oniri,,1 Of it d ,"111";(' may t'ntcr upon the plOpcl1y to perform nceded insptctions.
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Signature
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':roclor's License No.
Permit Valualion
Permit Fee $
Plan Check Fee $
Stale Surcharge $
Penally $
Plumbing Permil Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fcc $
Gas Fireplace Permit Fee $
1'," k ':TIJrt Fcc
SAC
Wall': Meter Size 5/8"; I";
Pressure Reducer
Sewrl /W~ter Connection Fce
Wal," rower Fee
llu i1der's Deposit
UIIlC'
TOT \1. DUE
This Application Becomes Your Iluilding Permit When Appmveo!
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I Date
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II. ~. c. 7
I
Building Ofr",j"J
Dale
Date
/I $
# $
$
$
# $
# $
$
$
$ -7~., ou
I j
Rccel1lNo. ~.50//
B/
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,~ i:\ to c~rtify tha.t th<.> rrqul 1 III the above ftpplicalinn amI iH'rompi\l1yin~ rl(Kllmcnt~ i~ ill .lrtTH,li11ln' with the City Zoning Oldinance and molY proceed as n~ql1c~t('rl. Thi!li document
~h('n sign~d by the City Plal1llf'1 rtlmait1ltc~" trmpllfary Certificf'1C of 7..(lnin~ compli<1I1(,(, :\111'1 "IJ",,~ construction 10 cnmmc:-nf"e Before occupancy. a. Ccrlificatr of (kelllHlney must be
i!i.:C;\Il~d.
DaLe Speci.1 Condilions, ifany
24 hour nolicc for .11 in.pcctio,.. ('/521 ,1.17.9850, fax (952) 447-4245
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Planning I )irCClor
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