HomeMy WebLinkAboutBuilding Permit 07-0257
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE, '
AND UTILITY CONNECTION PERMIT
Date Rcc'd
~Et ~_ I PERMIT NO. tJ1~Z.~7 I
I ZO~i(--) I
or
ADDRESS I /
Lf ,,-? ~ ( e h e str()t;(- LM~ JJ ~ W l ~'V ~. IiItJ q)3}
LEGAL DESCIUPTlON (office use only)
LOT ADDITION fJM r L ctf u -trhLts LJA-l'L
PID V? - 31 Lj () 2-D -0
~= Brttl/LdO'Y1 fl~, ~ '
(Address) 5j?r~
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(phone) q s 2-.... c.f '-Iv - 2%2-2-
BUILDER
(Company Name)
(Contact Name)
(Address)
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(phone) C eiJ bI2-g{) 2- C(/-:J (
(phone)
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TYPE OF WORK. 0 New Construction ODedc OPorc:b ORe.Rooftng ZRe-Sidins OLower Levd Finlm 0 Fireplace
OAddkion OAlteration OUtIJity Connection 0 Misc,
CODE: OJ.R.C. OJ.B.C.
Type of COllStrUCtioa: J
Oc:aapaacy Group: A B E
DiYisiOll:
n mlVVAB
F HI MB.SU
1 2 3 4 5
PB.OJECTCOST/VALUE $ I(),OOO
(ucladinJ land)
I hmby certilY that I haw fill11ishN information 011 this application which is to the belt of my knowledtlt' tnIt and COITCd. I also certilY that J am the owner Ill' authOrJud Item fell'tlle
above-mea11Oll&!d and thaI aU COIISUIICtioa will conIbrm to aU exlsIina lUte and JocaIlaws IIld will proceed in acconIat1<< with submitted pIalIs. I am _ that the bIIi1dial
ofticial rnoke this . tbr cause, ermoce, J hereby ~ tI1a\ the city oIliciaI or a dnisn<< may emer upon lbc property to perform needed mspxIions,
~ Lj- ;/5-0 '7
COIItracror'S License No. Date /
x .
Permit Valuation Park Support Pee #l- S
Permit Fee S SAC # S
Plan Check Fee S Water Meter Size 5/8"; I"; S
State Surcharge S (.2- Pressure Reducer S
Penalty S Sewer/Water Connection Fee # S
Plumbing Permit Pee $ Water Tower Fee #l- S
Mechanical Permit Fee S Builder's Deposit S
Sewer &: Water Permit Fee S Other S
Gas Pireplace Permit Pee S TOTAL DUE S '7 (... -
Tbi. App I~: jJ;;.( <71 I ~iptNO;U?,~
TIuI. to certiI'y tI1a\ die requeIl ill tbe abaft applicllion aad lCC.'IllIIpUIyiq docuI\Icnts is in accordance wid! die City Zoninl OrlfillaJltt UId may procmIas reqlIt-.d. This document
wItm slpN by lbc City Planner COftItitutcs a tcmporIrY Ca1iIIl:ate of ZoninI compliance and aUows coastnlCtion to COIIIIIleIItt, Ildoce IX'Cllpancy. a Ccrtilicalle of Occupancy ..... be
is5ued.
PIattniq Directm
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DIte
%4 IIour uti<< for III Inspeclion. (951) 447-9811O. fiX (951) 44''''%45
16200 Eagle Creek Avenue Prior Lake. MN 55372