HomeMy WebLinkAboutBuilding Permit 07-0542
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE.
AND UTILITY CONNECTION PERMIT
Date Rec'd
b a.t);
5k~, C~C Sf
I. White Fa. I I
2 Pink Cily PERMIT NO. 0 I c ~ 2-
) v......... ApplicaIW
\\ oc Lo....ke..
I ZONING '--I I
LEGAL DESClUPTION (office use only)
A)
LOT
BLOCK
ADDITION
OWNER D L:J n'A n
(Name) ~..)<;;... ""-n. tJ-
(Address) I
>
=:Name).For}~ S'~&~()(r~L-'
(Contact Name) 3"c.....~""" ~,c. e-
(Address) ~O~(:~ . :ti1/7
PID 2.S-~ Z-Z--q. CO 0 . ()
(phone) 1 5z-447- 5777
?(' ,'6<" L~~ t:- A AJ C
~-!::!.
o Fireplace
TYPE OF WORK 0 New Construction oDedt oPorch J81Re.Rooting ORe-Siding oLower Level FiRlsh
oAcldition [JAIteration OUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Coastruction: I
Oc:copancy Group: A B E
Diyision:
n mIVVAB
F HI MRSU
1 Z 3 4 5
l~ I ck.X:).
PROJECT COST IV ALUE S
(excluding land)
1 hereby certify thaI I have IiImishcd information on this application which is 10 lhe: best of my knowledae true and corm:t. 1 also certify that 1 am the: owner or authonzcd qcnt b the:
above-mentioned propeny and that aU construction will confilnn to aU existiq state and local laws and will proceed in acc:ordaJItt with submitted plans. 1 am aware that the: buildinJ
otr1Cia1 can revoke this permit for just cause. Futthmnore, I hereby agree that the city official or a desiplce may enter upon the: property to perform needed ~/
X -' c04!50fJhr ~ LJ:;(n
Signature Contractor's Uceuse No. Dale
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
TIds Application Becomes Your BuUdq Permit When ApproYed
Buildinll. Official
Date
Park Support Fee
SAC
#
#
Water Meter Size S/8"; 1";
Pressure Reducer
SewerIWater Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
nus is to certify that the: request in the: above application and accompanYin& documents is in accordance with the City Zonina Ordinance and may proceed as requc:sted. This document
when signed by the: City Planner constitutes a remporuy Certificate of ZoGina compliance and allows construction to corrunence. Before occupancy, a Certificate of Occupancy must be
issued
PIanaiDa Director
Date Specjal Ccladitions. if lilY
24 hOllf notice fOf all inspections (~2) 447-9850. fax (951) 447....245
16200 Eagle Creek Avenue Prior Lake. MN 55372