HomeMy WebLinkAboutBuilding Permit 07-0291
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R- ~~ 00
JOS~
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
I ZONING (office 1IIe) I
TC)C-(JY\-\-() ..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID G-~.s I{. 004.0
~:~. ~::y I PERMIT NO. 07.0 zq I I
J Yellow Appliconl
OWNER-r;OV'l/\
(Name) II.... I r I
-+ /(cUE:rl rY\c .\<'eell
(Phone) ~~ i YYO. Yd-.98
(Address)
=: Name) ~tta.1I e;)"'" r/ ~"'rlrlL{.f10/1
(Contact Name) &/ t(]
(Address)5(Pl// /JiemfJr/a/ . /Y. 7~ 'u.}ctlo.
TYPE OF WORK O\New CoDS~ ODed Dporch
OAddition I\1teration OUtility Co
. CODE: OI.R.C. OI.B.C.
Type of Construction: I n ill IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
(phone) uGj,-'/?J9. "t'.3XJ
(phone)
/ 6-:;-tJ 6' d-
OLower Level Finish 0 Fireplace
PROJECT COSTIV ALUE $ L/ I e,f0 .GO
(excluding land)
I hereby certify that I have furnished information on this application which is to lhe best of my knowledge true and comet. I also CCttify that I am the own.... or authorized all"nl for the
above-mentioned propetty and that aU construction will conform to aU existina state and local laws and will proceed in actardance with submitted plans. I am aware tlYt lhe buildinl
olflCial can revoke this permit ~ just cause. Furthermore J here asrrc that the city official or a clcsignee may enler upon the property to perform needed ~.01s,
X c:l-tJ~ 6'.f</~y LI WQ{CJ;f-
Contractor's License No. Date
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Pennit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your Buildq Permit When Approved
Buildina Official
Dale
Park Support Fee # $
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE
TIlls is to certify that the request in the above application and accompanyinl documents is in accordance with the City Zoninl Ordinance and may proceed as rcqu.'Stcd. This documenl
wilen silned by the City Planner constitutes a temporuy Certificate of Zoninl compliance and allows construction to commence. Before occupancy, a Cl'rtiflCatc of Occupancy must be
issued
Planninl Director
Date Special COIIditiona, if my
24 hour notice for III Inspections (9!l2) 447-98!iO. fax (9!l2) 447-4~!I
16200 Eagle Creek Avenue Prior Lake, MN 55372