HomeMy WebLinkAboutBuilding Permit 07-0464
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type OJ: print 1Ul4 sip at bottom)
I ADDRESS
. ~D q e ~ J-!"v€:7--J
c:>.
I LEGAL DESCRIPTION ""'''2 .oIy]
LOT BLOCK AOOmON
OWNER
(Name)
$ t+b~ L
It.e M pFo {).....T
(Address) 3> OY ~
~
bN
t-J
&~1/()1
~. V::" ~~y I PERMIT NO. 0 7~ 0 +-G4-1
3 Yell..", Al'I*onl . .
I ZONlNG'__1
PID
(Phone) 95'Z. - 4w - ~Olp i
BUll.DER
(Company Name) (J i--h M ~t (tt;&-r?> ~~or-l I tJ(...
(Contact Name) f\.-t~ k 0J:::a-.$(j,...l
(Address) "3 So () () /tAi-> 8v (Ie, t-,J f 1'-1 rvJ 0 \J r~
(Phone) 1(,,'3" J 9 () . 3 z.. e.- 0
(Phone) 7u'3 . Z....Z.-2.. c..f3 '3 ~
fY\,J SSI./" 7
TYPE OF WORK. 0 New Construction DDedt Dp<m:h ~~-1toofiny, OR.e-Siding OLGwcr Level FinlSh 0 Fireplace
DAddition DAlter:ation DUtility Connection 0 Misc.
CODE: IJl.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
DiyisiOll:
n illIVVAB
F HI MRSU
1 2 J 4 5
PROJECT COST IV ALUE S f>, 0 1--/ c.. CJ 0
(excluding land)
x
I ""'<'.b1 certifot that lluvt furnished inf<lrn\llt\Gt\ _ mi& appllatkm 'Nt\idl. ~ 113 ~ bat of tWJ bIo1llkdle ~ ud cotteCt. 1 lobo <:cttify tbat I am the \JWw:r lIr authonzcd agent for the
above-mentIoned property and that aU construction will COlIform to aU existillJ state and local laws and will proceed in accordana: with submiued plans. I am aware t~ttbc building
offiCIal can revok this permit for j use. Furthermore. I hereby a~ tbatthe city official or a designee may enler upon the property 10 perform needed mspcctions.
U I ,./ 0 7
Dare
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
TIUs Appliamoa Becomes Y 01U Buildin& Permit WJaea Aptmn'e'
Buildinl!. OffICial
Date
?-os- 3 ~"1 Z Z
Contractor's License No.
Park Support Fee ## S
SAC ## $
Water Meter Size 518"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee ## $
Water Tower Fee ## S
Builder's Deposit S
Other $
TOTAL DUE $
nus IS 10 cenUy tballhe request in Ihe ilbove applicatIOn aile! accompanyinc docvmenls is in accOl'cWtce with the City Zoning Ordinance and may proceed iI$ requl'StCd. This document
when signed by the City Planner constitutes a temponry Cenificale of Zoning compliance and allows construction 10 commence. Before occupancy. a Certificate of Occupancy musl be
issued
PIanDing DiJCCtor
Date Special Conditions. if any
24ll.oW" \\(\tk~ for.U 'G.~MG' ('JSll447-"~ fu ('JSll447-42A~
16200 Eagle Creek Avenue Prior Lake. MN 55372