HomeMy WebLinkAboutBuilding Prmit 09-0596
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTmCATE OF ZONING COMPLIANCE r:; vc t?" .-C, .- 09
AND UTILITY CONNECTION PERMIT rPr lj /
(PIeue type or JIIiDt ... _lit IIoaom)
I ADDRESS
If// S- CedCirwODcP
I LEGAL DIlSCIlIFIlON <""""--
LOT BLOCK ADOmON
~~ PQ.//;'J Q",,',f\ YL
(Address) // ! C..!"e/q/U/oJ
I. White File
2. PiDk City
3. Y_ AppIiCIIII
I PERMIT NO. 09- '-'96' I
I I ZONING ,--> I
I
C,'rc!e
1UE..
PID
(Phone) 7's-;; - g'f''7'- 53;; y
k /ll1U 5" 5:J 72...
i~c/~ I//~
=~Name) te~y'co Co",,-slr~c/' ~YI ~ ~c.
(Contact Name) DOr~ .\ ~ I To >1 fa. ,i S '" Cl :. 1-
(Address) O?I/ 5/ HI 0,..
(Phone) Ii:/:J - S-~ 7- 3000
(Phone) 6/.2- 36~ -7;15';L
/(/ .5 =s-- y/
TYPE OF WORK 0 New Construction []Deck []Porch ..J:iKe-Roofing
DAddition OA1teration Dutility Connection
CODE: []I.R.C. [JI.B.c.
Type of Coamuction:
Oc:c:upucy Group:
Diuon:
I
A B E
n mlVVAB
FHI MRSU
1 2 3 4 5
[]Re-SidiDg OLower Level Finish 0 Fireplace
o Mise:
PllOJECI'COSTIVALUE $
~ ... Iud)
ts-oo e-
,
I bereby certIfY lbat I haft fbmlsbed iDbmalioa OlIlbis appIkation wbidI is 10 die best ~ my IaIowIellge true aad oomct. I 8Iso certIfY lbat I am die owuer or audlcrized IjJellt fur die
Ibove-meDtloacd property aad 1bat III alIIItnIclioII will aIIIIbnn 10 III eDtlDg stale aad Ioc:allaws aad will procleCd in aalllIdaDce with submitIed pIaDs. I am __ 1bat die buiJdiDg
-'-~~_......-.m.____..._.._......_
X ? --L -- .73 7" )?-~-o /
, IptUre Contractor's License No. Datr
Permit Valuation
Permit Fee S
Plan Check Fee S
StateS1ll'CbaI8e S
Penalty S
Plumbing Permit Fee S
Mf'.t'hllnu-al Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
'1bia A.ppUaticJD BeaJma Your BaIhIiDa PaIIIit w.a Approwd
<f~/07
Pm Support Fee # S
SAC # S
Water Meter Size 5/8"; 1"; S
Pressure Reducer S
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S 7tf.~
I~ ~iJ::2
I~N;~S~'1q5 I
- rJ"
~ '1(;-
1bls is 10 certIfY 1bat die request in die Iboft appbtiOll aad aaDIIplIII.yiDg cIocumeDIs is in IaXlRIuIce with tile City ZooiDa 0rclIIIaDcle IJld may proceed .. requeIlI!d. 1bls cIocumeat
when slped by die City PIaDer alIIIllIaIa a laIIponry CerlifIcate ~ ZoIIia& alIIIpliulCle aad IIIows -..ctim 10 COIIIIIIeIXle. Befilre Ol.'CIIJIDCY, a ~ ~ 0a:upaDcy IIIIIIt be
issued.
~ Director
[)Me Spec:illI Ccmditioas, if ay
24 _r II8Cke Jbr ...Iupec..... (952) 447--' fu (952) 447-1245
4646 DUota Street 8.1:.. PrIor LUe, M--.. 5S372