HomeMy WebLinkAboutBuilding Permit 07-0576 - roof
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec'd
~: ';:" ~:y I PERMIT NO. 07. 0 r::. 7/-
) Yellow Applica.. ? _IV
(Please t}'pe or print ad sian at bottom)
I ADDIUlSS
1735'1 {2idG-LuJ~d
~rt-
I ZONING ,_...
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID 2 s-. 2-('14-,02 S-. 0
OWNER
(Name) ~-t-t'LY'- ~
(Address) L 73 <;:;Lf 'f- i
!JJM/' Iv
(phone)
bi:2- -Z,7o -~323
5537.1-
MtJ
IN--'
/62-
TYPE OF WORK 0 New Construction ODecIc OPorch .Roofing ORe-Siding OLower Level Finish 0 Firq>1ace
OAddition OAlteration OUtility Connection 0 Misc,
BunDER r I . +-e-- C-:..{--:
(Company Name) 0 J OK' :erlorS.
.
(Contact Name) J ffi,~"\ rr-- (J d(k:t/\....
(Address) J,foD'S: lbb t)..... !S{-, IN
CODE: OI.R.C. DI.B.C.
Type of Construction: I
Occupancy Group: A B E
DiYision:
n WIVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST/V ALUE $
(exclwling land)
~<:;n . n
I hereby cenify lllatl have lilmisbed infonnatiOll on this application wbich is to the best of my knowledlc tnJe and c:orm:t. I also c:mifY lllatl am the owner II autl\oriZCd &lICflt for the
above.menuoned prllIl(!tY and lllat aU COlISuuctiQn will c:onfonn to aU existiIIC state and Iotallaws and will proceccI in actOrdat1ce with submitted plans. 1 am awue that the buildinll
official revoke Ihis .1 for just cause. FurthCI111lm. I hereby aaree that the city ollIcial or a designee may enler upon the property to perform needed ~
. 2oh'()1 ".(.). I? 07
Signature Contractor's LIcense No, , ~
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
s
s
s
s
s
s
s
s
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
Tbis Application Becomes Your Buildiq Permit When Apprond
Building Official
Date
s
S
$
$
S
$
S
S
S
nus is to certify lllal the request in the abc:l1le application and accompanyinll doc:ulMDlS is in aa:onIance with the City Zooin, Ordinance and may proceed as requCSled, 'Ibis documenl
when siplcd by the City Planner constitutes a tempora..'y Ccrtificak of Zooin, complianc:e and allows construction to COIlllllell<<. Beli:n oa:upancy. · Ccrtifu:atc of Occupancy must be
issued.
I'IanDins Directllr
Date Soec:iaI CoaditionI, if any
14 hour notice for all Inspections (951) 447-98~. fall (951) 447-4145
16200 Eagle Creek Avenue Prior Lake, MN 55372