HomeMy WebLinkAboutBuilding Permit 07-0474
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
I ~~;....-"'" ............
Jk9()6 (imlk/J
LEGAL DESCRIPTION (office use only)
Date Rec' d
o (2 ,0 7
~.~. ~:y I PERMIT NO. () 1_ (> .-1-1 A J.
3 Yellow Applioa.. T D
(!/ / tie L{ JJ .
I WNlNGc_.> I
LOT
BLOCK
ADDITION
PIDL~. 365. D3&>. 0
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~tJ e/A &J~tL
(Phone) ~~d' 'it/1.l/f7d-
I OWNER
. (Name)
. (Address)
=~Name) ~JJ" IiV"cu/ ttJ.l/hlLlhl"']
(Contact Name) &1' (~
(Address)5&'1/ ;1;uJ}()r/a/ ./fr. /r 7~ 'tJ..}ttlr.:r
TYPE OF WORK D\New Construction ODeck Dporch
DAddition OAlteration DUtility Conn
. CODE: OI.R.C. OI.B.C.
TypeofCoDrtnKtion: I
Occupancy Group: A B E
Division:
n mIVVAB
F HI MRSU
1 2 3 4 5
(phone) u61'~~9..y 3X)
,
(phone)
6-5t; 6';L
DLower Level Finish 0 Fireplace
PROJECT COST IV ALUE $
(exduding land)
.t/tJJ~6C)
x
I hereby certify that I have furnished information on this application which is 10 the best of my knowledge true and comet, I also certify that I am the own.... or authorized agent for the
above.mentloned property and t all construction will conform to all existinl state and local laws and will ~ in accordance with submilled plans. I am aW;lfe lhatthe buildinS
official can ke this permit fi JUS cause. F mnore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
/11/ f ;;-r i ~ Ii/;/ /11 1
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge S
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Pennit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your Buildinl Permit When ApproYe'
Buildin2 Official
Date
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE S
ThIS is to certify that the request in the above application and accompanying documents is in accordance with the City ZoninS Ordinance and may proceed as requcsted. This document
when signed by the City Planner constitutes a temporuy Certilieale of Zoning compliance and allows construction to commence. Before occupancy, a C.'I1iflCltc of Occupancy must be:
issued
Planning Dim:lor
Dale SpecW Coadilions, if IDY
24 hour notice for all Inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372