HomeMy WebLinkAboutBuilding Permit 09-0284
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Ma y, 28, 2009 11: 46AM
Property Claim Solutions
No.5860
p,
CITY OF PRIOR. LAKE BUILDlNG PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5. 28. OJ
~::;: ~"I I PERMIT NO. ()ti, 0 Z e~ I
ADDRESS
l,o€,3
ZONING (Olli~ 1Il'~)
Wi \ d -e (,V"'l e"& S -n---o; \
S, E.
LOT
BLOCK
ADDmON
Pill
~
r
I
I
I
I
LEGAL DESCRIPTION (office use only)
~= O\V\< Go r) -S-e....-
(Address) t lO~5 W~ \c..€vYle"Scs \Ya', l $, E
(phone) C\ CO';;) 73 D d<:, &.,
~=:Name)?lOP€(-\'l C\a'dY1 ~C\U-t~on
h~Ch
'S n;Co\S ~d
(Contact Name)
(Address)
(phone) coE=> \ q Q4 ~~ ~
(Phone) 05 \ q q4 dO~ ~
a..n
TYPE OF WORK 0 New COnllrUction ODeck OPorcl:1 ~Rc:-Rooli:ng ORc:-Siding OLower Lcvd Finish 0 Fiteplace
DAddition [JAIteration OUtiIity Connection
CODE: DI.R.c. DI.B.c.
Type of CoDBtrlldion; l
Occupancy Group: A B E
DMslont
o Mise:
n mIVVAB
F HI MRSU
1 2 3 4 5
PROJEcr COST/VALUE $ {O, OCX:>
(excluding land)
I beteby ~ lbat I bave furJ1isbe4 ilIformation on tbi!l appJiation whidl is to lbe bot of my k40WJedse ttue a1Id COI'uct. 1 aI.~ Olrtify tbAt I i.lIl tho owner or authoriztd agent fur the
iIbov...mClltiOllod propony and thlt all OOlatructiDn will C!DIIfonn II> .n omtiDg SIDle and Iocallawl and win prooced in i.CCOrdancc with submltud plal>l:. 1...... aware lIIAt ~~ buUdiD,
oll'!dal WI r.volce lbls pehlli[ fo! just caus.. Furthcmwre. I hcceby agree that the dty ollldal Of a de:u8llel! may i!lIW' upol1 the pt~ to porfll!1ll needed inspcctillDB.
x~ G 0.059 ~ \ ~8 S/.:J'5/oCf
Contractor's License No. Date
Permit Valuati01l Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ WBtcrMetc:r Size 5/8"; 1 "j $
State Surcharge S Pressure: Rc:dua::r $
Penalty S Scwcr/WBtc:r Connection Fcc # $
Plumbing Permit Fee $ Water Tower Fee # $
MecAanical Permit Fee $ Builder's Di:pOsit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE /J $ '7(,.00
1/
This Appllcadon Be(!omes Y01.tt BuildlDg Permit When Approved Paid 7C1. W I R~grfpt: No. ., ,,,., 7-
Date /..~ U " ., I~ y..
, I 01
Buildin" Official Date
This Is to ccrtify dIar the request ill m. above application and accampanyiDg documcnlIls l:4 a=tdaDCd with Ihl! ClIy ZDDiDa On;liuooo Iud mil}' prooced as rcqllC!ltcd. Tlili <Iocum...r
whOlllir;lWd by th. City Pl.D.lIor =til\1tes I IOI1:lporo'Y ~ljQt~ of ;?;ouinll oomplimce and allClWl romauctioo to t'OIIlDICIICC. Bc1brc OCCIIpIDCy, a CertiliQlto of 0<aIpaD~ must be
issued.
I'l3nllin~ Director 0",. ....
SJl"~i;jJ COndiliDtII, if allY
24 hour notice tor all inspcetiGDs (952) 441-9850, fIlJ: (952) 44'1-4245
4646 Dakota SIrttt S.E..l'rioJ' Lake, MiDDe.ola 55372