HomeMy WebLinkAboutBuilding Permit 07-0258
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
/s
n,..-('
d., f Ave
2.3
LEGAL DESCRIPTION (office use only)
LOT 2- BLOCK.3 ADDITION ~
Date Rec' d
While
Pink
3 Yellow
rIz. S-,/o7
I PERMIT NO. CJ 7-tJ2Sgf
File
City
Applicanl
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ZONING (office use)
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PID
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OWNER....,..., t)
(Name) I J-(jV DHWh
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(Phone) 1 s 2 - '103- (5'11(7
(Address)
BUILDER . J /)
(Company Name!1'i1.I..J-tSf ~o,f,~f, Slti,~, t.J/~IW
(Contact Name) Th~"..~~<{ h... h fJ.,,'Y
(Address) 3/3 ~ #~"".sd"'" ~y
(Phone) 7" 3 -t;z 7 - "~96
(Phone)
.:r", c .
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.C. PROJECT COST/VALUE $ S; I~-S-
Type of onstruction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
x
I hereby cenify that I have furnIshed mformation on this application which is to the best of my knowledge Inle and correct. I also celllfy that I am the owner or atlthonzed agcnt for the
above.mentlOned propeny and that all construction will conform to all exisllng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official ca voke thIs ~er it for Just cause. Funhermore, I hereby agree that the clly official or a deSIgnee may enter upon the propeny to perform needed mspectlOns.
c;/ ~
Signature
Permit Valuation 2.500 QB
Permit Fee $ 7~. 'J S
Plan Check Fee $ -
State Surcharge $ /, z..~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
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Butldll1!! Ofticial
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cf.I t e
z:..CJo/~ z. 7?
'(-es--o "7
Contractor's License No.
Date
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 $ 7'. (JO
~~: ~J;;I''7
I ~;ceiPt 6:5'-110
ThIS IS to cerllfy that the request m the above applicallon and accompanymg documents IS in accordance with the City Zonmg Ordinance and may proceed .IS requested ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence. Befure uccupancy, a Cl:rnficatl' ()f Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax ('152) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372