HomeMy WebLinkAboutBuilding Permit 07-0562
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink Ctty
l Yellow AppIic:enl
I PERMIT NO. 07.0S&~
I I ZONING '__l I
(Please: type or print ..d silD at bottom)
I ADDRESS
L/&5f;., Q)cuKuxxd 1111e
Sf
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z~. 311. OZ.7.0
FeU+'-' Grof~
(phone)
05.;2- ?it/7-S?54
\~= Ed of-
(Address)
BUILDER J.// . I!t f .
(Company Name) ~ J 11>] m V"ao r'/ . '1J.1f IntLD. O/J
(Contact Name) tl.1l
(Address) 6&l// /J. emor /a...1 . /i 7-hu.1a.la.
TYPE OF WORK D~New Construction DDeck
DAddition OAlteration
(phone) u6-;'~?Jc). if.3;).()
.
(phone)
6-StJ8aL
.Roofing ORe.Siding DLower Level Finish 0 Fireplace
o Misc.
. CODE: OI.R.C. OI.B.C.
Type of Construction: I
Oc:alpanc:y Group: A B E
Division:
n mIVYAB
F HI MRSU
I 2 3 4 S
PROJECT COSTlY ALUE S 552 d . ()()
(excludiDg land)
I hereby certifY that I have rumis~ information on this application which is 10 lhe besl of my lalowled8e trUe and COI'I'KI. I also certify tball am Ihe uwner Ilr autl1orizc:d alJCnl ror Ihe
above-menboned propetty and that aU construction will eonform to an existiJla Slale and local laws and will proceed in accordance with submined plans. I am aware that the buildinl
ufficial can rt'YOke Ihis pmnil for just cause. Fu ermore. I hereby asree thatlhe city official or a dnisnee may enler upon lite property to pm'orm needed tnspcclions.
if() ,/ !i' ~~ Fe/' &- ;29-- () 7
Contractor's License No.
x
Dare
Permit Valuation Park Support Fee ## $
Permit Fee $ SAC ## S
Plan Check Fee S Water Meter Size 5/8"; I"; S
State Surcharge S Pressure Reducer S
Penalty S Sewer/Water Connection Fee ## S
Plumbing Permit Fee S Water Tower Fee ## S
Mechanical Permit Fee S Builder's Deposit S
Sewer & Water Permit Fee S Other S ......., /
Gas Fireplace Permit Fee S TOTAL DUE / ) s .1tP----
I -,/ ~ ~
This Application Beeomes Your Buildin& Permit When Appro.-ed Paid 7fJ' I ] ~iDt No. ':7 TU (~ I
Date -1. '3 ~d 7 I /'
( (
Buildina Official Date ()
nllS is to certify lItal the request in lhe above application and accompanyinl documents is in accordance willt the City Zoninl Ordinan~ and may proceed as requested. This documenl
when siBned by the City Planner constitutcs a temporuy Certificate of Zooinl compliance and aUows construction to eommcn~. Before llCCUpancy. a Ccnifll2tc of Occupancy must be
issued
Planninl Director Date Soecial Caaditionl. if my
24 hour notice for anlnspectionl (951) 447-98!iO, fax (951) 447424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372