HomeMy WebLinkAboutBuilding Permit 07-0373
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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rac&
I White
Pink
Yellow
File
City
Applicant
5(22/07
I PERMIT NO. (J 7~6 -.> 73 I
dr, '\~
J\'lVESO \ \1~4
(Please at bottom)
ADDRESS
5 ?JCO C( e&xt
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID z.s-. 013.0 oJ, 0
OWNER \ '" "}
(Name) Lil\,10rtJ\ce...
(Address)!5 '
Sc1 "tY'\ l d...
'r\-- \tl ve~ R..w
TYPE OF WORK 0 New Construction ODeck
OAddition OAlteration
CODE: MLR.C. OLB.C.
Type of ~struction: I II III IV V A
Occupancy Group: A B E F HIM R
Division: I 2 3 4 5
(Phone) q~ - ~ - 5\05
(Phone) ct~ . [,Q'l- 0CtS'\
ORe-Siding OLower Level Finish 0 Fireplace
B
S U
PROJECT COST /V ALUE $ G2J \ @D. 00
(excluding land)
I hereby certify that I have furnished mformatIon on this applicatIOn which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authOrIzed agent for the
above-mentIoned properry and that all construction will conform to all existIng state and local laws and will proceed in accordance with submittcd plans I am aware that the buildmg
"lftci can revoke thiS p mit for Just causc FUlthermore, I hereby agree that the Clry official or a designee may enter upon the properry to perform needed mspectlOns
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ ~rJ2
BlIildll1!! Ofliclal
~/2~7
Date
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7 hI' 00
I P,id 1S' ~.OC
Date 1'2 -z....jD 7
Recei~o. 5""38 ( 0
By
VJ---
ThiS IS to certify that the request in the above apphcal10n and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg comphance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must bc
issued
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372