HomeMy WebLinkAboutBuilding Permit #12-0722 � ❑ ❑� (� O�❑00❑ � O D Zc�
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�� PR CITY OF FRIOR LAKE BUII,DING PERMIT,
ti ''� / � `, Date Rec' d
�� I��, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
� E 5���
'. �"`e File pERMIT NO.
z. � �„� /L— ���
3. Yellow qpplicant
Please or rint and ' at bottom
ADDRESS
� �+ `7� �i(1 ���Olc� �� I ` � Z,c� � �1 L-G�/�-- ZONING (oflsce use)
LEGAL DESCRIPTION (ofl['ice use only)
LOT BLOCK ADDITION PID
(Na�meER ��/+.1 � � 2D �/ ,N � \ GN- O 1 /� (Phone) ��02 � � � 0 — �D �/�
(Address) � (c '1 D ) J � ....-. . �(.v 1'�i� 1� �. l�� �53 7�
BUILDER
(CompanyName) .(�-1'V'� bn-�' l'�ZYI� �t� (Phone) ��3'7�- /�7�.
(Contact Name) �U. �PJ � t,[l�.,�V�, (Phone)
(Address) ��� �-- - �^ ' � lVl IJ 55 �3�•
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e-Roofu►g �Re-Siding ❑Lower Level Finish ❑ Firepiace
DAddirion �Alteration Utility onnecti �� o �{-✓' I.c� t-/�.�. Nl c-fd.l ��,. �;,n,l , S
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CODE: OT.R.C. �I.B.C. � M �� :
�pe of Conshnccion: I� II III N V A B ,/
Occnpancy Gronp: A B E F H I M R S U PROJECT COST/VALUE $�`7, DU 0
Division: 1 2 3 4 5 ����� �� '
I hereby certify that I have furnished information on this applicadon wlrich is to the best of m knowle
above-menrioned Y �� and correct. I also certiTy that I am the owner or anthorized agent for the
pi'opa'ry and that all consteuc�tion w�71 conporm to all exis�ng State and local laws and w�71 proceed in accordance with submiued plans. I am awaze that �e building
oH'icial revoke this permit for just cause. Furthermare, I hereby agree that the ciry official ot a designee may enter upon the property to perfam needed '
mspections.
X — f�C b b b i� �-a �-i a--
Sigaature Ccmtractor's License No. Dabe
Permit Valuation Park Support Fee ## $
PermiY Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge S Pressure Reducer $
P ��ry $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit a
Sewer & Water Permit Fee $ 0��. $
Gas Fireplace Permit Fee $ TOTAL DUE g
9 7.�
T6is Appli ' com Boilding Permit Wh Appr a Pai� �
� 7 7 Recei N
, 7 zs � n � �_ B j
uildi o���al �'`��. te
This is to certify that the request in the above appiicatian and a mpanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested. This document
wh� signed by the City Planner consdtute.c a temporary Certificate of Zoning mmpliance and allows construction to commence. Before occupancy, a Cettificate of Occupancy must bc
issued.
�anning Director Date Specia( Conditions, if my
24 hour notice for all mspectTions (952) 447-9850, fas (95Z) 447-4245
4646 Dakota 3tncet S.E., Prior Lake, Mmnesota 55372