HomeMy WebLinkAboutBuilding Permit 07-0419
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5.3l07
I. WIriIe Yd.
2. Pink City
) Yellow AppIiconl
I PERMIT NO. 07. o4-/q I
I ZONING ,__l I
PIeue
ADDRESS
'2>445 e~L/stPL ClRc~ M.W,
pRlOR cAKe.-
3
LEGAL DESCRIPTION (office use only)
PID 26-. 2-S2. ()Z2, C)
LOT
BLOCK
ADDmON
BUILDER
(Company Name)
(Contact Name)
(phone) 9..s,-:2-~<I-7-/75'7
rae'L#I<E !dJS3-Z
(phone)
(phone)
(Address)
./
TYPE OF won 0 New Construction ODeclt OPorch I2!'Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of Coustnu:tion: I
Ocmpancy Group: A B E
Dinsion:
n
F
1
m IV V A B
HIM R S U
2 3 4 5
PROJECT COSTIV ALUE
(excluding land)
s tt>>O, e&
I bm:by certify that I have furnished information on this application which is to the best of my 1cnow1ed8c true and c:om:ct. I also certify that I am the owner e.. authorixd apt for lhe
above-menbonrd JII1lIlrI1Y and that all c:onsuuction will conform to all .. stare and local laws and will prom:d in ac:ctlI'dance with submitted plans. I am aware that the buildin,
official can e Ihis pmnil for just rrmorc:, I hereby aper the city ofticiaI or a ~ may enler upon the pr<JPrrty to perform needed mspections.
J tU ~~ .5 31-()7
Signature Contractor's License No. Dare
x
Permit Valuation ,;), .$00- 'N
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Y OlD' Buildin& Permit When AppI'OYed
Buildinll. Official
Dale
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE $ 7(.,.,.60
~NO
..53.8S"
I Paid
Date
~Jf','7
This is to certify thai 1m requesl in the above application and accompanyinB documents is in acc:ordan<< with the City Zooin, Ordinance and may proc:rrd as reqllL'StCd. This documenl
when sianrd by 1m City Planner c:onstitutcs a remporary Cc:rtilicate of Zonin, compliance and allows conStruction 10 COIlllllmtt. IIc:forr oc:c:upancy. a Certificare of Occupancy must be
issued
PIlIImina Director
Date SpecjaI eo.Iitions, if IIIIY
24 hour notice for all inspections (951) 447-98!iO. fax (951) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372