HomeMy WebLinkAboutBuilding Permit 07-0649
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
0lt()~.r
1575
F eJ'B vJ \!J ^-
(Address)
i BUILDER 4 "' 'lq r ~
I (Company Name) \ Qf' QJ\. lJ.J1V{J tJV
I (Contact Name) ~ Spru"tL
I (Address) t?7~ /O~ J4,A N
Date Rec' d
I White
Pink
Yellow
I PERMIT NO.00-&L/1/
File
City
Applicant
ZONING (office use)
('.
PID
5;)- 0-
r\
(Phone)
Go IJ-OAf'
(Phone)
Vfl./1k1
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conne tI n
CODE: DI.R.c. DI.B.c. o Mise.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certify that I have hlrnishcd mformation on this applicatIOn which is to the best of my knowledge true and COlTect. I also certify that I am the OWTILT or authorized agent for the
above-mentIOned property and that all constructlOn will conform to all eXlstlllg state and local laws and will proceed in accordance with submltted plans I am aware that the buildlllg
official can revoke t lS permIt fo - Just cause Furthermore, I hereby agree that the Clty official or a designee may enter upon the prope11y to perform needed inspectIOns
/2-_ _, /s-d 9 2//O~()-6
Contractor's License No. Date
Permit Valuation a500,--
Permit Fee $ /i/. 2-5
Plan Check Fee $ / ' ;;'S-
State Surcharge $
I Penalty $
! Plumbing Permit Fee $
~echanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ I
TillS Application Becomes Your Building Permit When Approved
Buildlllg Uniclal
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ ~/o-
~b-
,
- jo- 6
I ~~ceiPt Nog/11 Y
Paid
Date
Tbls IS to certIfy that the request III the above application and accompanYlllg documents IS III accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner CLlnstltutcs a temporalY Certificate of Zomng compliance and allows constructlon to commence Before OCCUPill1CY, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372