HomeMy WebLinkAboutBuilding Permit 07-0465
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE.
AND UTILITY CONNECTION PERMIT
(Please type or print an. sip at bottom)
I ADDRESS
Z8 So 8t>Bcm- 71Z-A;\L
Date Rec' d
Co. If u7
I. While File I PERMIT NO I
2 Pink C;'Y . 07_D% 5-
J Y oIlow Al1Illiant . .
I ZONlNGc__> I
LEGAL DESCRIPTION (office II5e only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) PIoN I~
(Address) 2--6.5"'0
DfJ '1 f'r~
SOB c...ppr -r (2...~ L-
(Phone) (J 11- - 27S" - V 2..,lfO
BUll.DER
(Company Name) V Vn M k'rc. f/.-G>TO~ ON I t-J(....
(Contact Name) M A-rT M ()b12-6 OrJ
(Address) 3.)0() UIU'-6..B()tl-4:, lAJ i Jl.f mttuR tv) ,.J
(phone) 7{p3. '"5 9D . 3 z,"2-0
(Phone) 7CIJ 3, '2.."2.-'2. - L/ 33 (0
S-S Y 47
TYPE OF WOB.K. 0 New Construction ODedt OPOtCh ~.Roofing ORe-Siding OLower Level Fil\\Sh 0 Firepl~~
OAddition OAlteration o Utility Connection 0 Misc.
CODE: ~.R.C. OI.B.C.
Type of Construction: I
Ocmpancy Group: A B E
Diyision:
D mIVVAB
F HI MR.SU
1 2 J 4 5
PROJECT COST IV ALUE S
(excluding land)
CfJ 1" '00
x
1 hetd>y ~~ thaI I nave furnished infarmatioo. 0\\ th\l. a.pp\k&UIm 'Nbid\ i& tG ta.c best Q{ my bvl",ll:<1lIe true ud t::Qtre(:t. I aha certify tbat I am the owner or authonlCd ~l for lilt
above-menl1~ properly and that all IrUction will conform to aU exlstini Slate and JocallaWJ and will proceed in acccrdance with submiued plans. I am aware tM-t tbe building
official C3D revoke . permit for just . Furthermore. I hereby AllIft that tbe ci1y official or a lksilnee may enler upon tbe property to perform needed anspections.
Z-DSs~1f$Z. CJJ/lI07
Date
Permit Valuation
Permit Fee $
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer &. Water Pennit Pee S
Gas Fireplace Permit Fee S
This Applicatioa Becomes Your Buildln& Pemdt WItm Approve.
Building Official
Dale
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; S
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE -
TIus IS to certify thallhc: request in the above applicatIOn and accompanyinc documents is in accordance with the City Zoning Ordinance and may proceed as requested. This dncument
when signed by the City Planner constitutes a remporuy Certificate of Zoning compliance and allows construction to commence. Before occupancy. a C~"rtifrcate of Occupancy must be
issued
PIatming Di=tor
Date SpcciaI Conditions. if lIIIY
2A l\oIIt" oot\u for aU \..~t"'.' (95.21447-98~. fu (95.2) 447-42A~
16200 Eagle Creek Avenue Prior Lake. MN 55372