HomeMy WebLinkAboutBuilding Permit 07-0668
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
d 17;), ~
Date Rec' d
~: =. ~~ I PERMIT NO. ? - / I crt
J Yellow Applica.. . u" ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER \ 1. b
(Name) 5e("O~ * 'i'U\,'Q \)ho\lC>~
(Address)
I ZONING,_.,
(Phone) q5a,~5"1J-- ~Y57
Bun.DER
(Company Name)
(Contact Name)
(Address) 5&l//
(Phone) tt6It~~9..y 3M
(phone)
.N' 5-S-() 8' OJ-
TYPE OF WORK ONew Construction ODeclc OPorch -Roofing ORe-Siding OLower Level Finish
OAcldition J'fb1teration OUtility Connection 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
IDIVVAB
HI MR.SU
2 3 4 5
PR.OJECT COST/V ALUE
(excludiDg land)
I
A B E
n
F
I
o Fireplace
$~/1Cf~' oD
I hereby certifY that I have furnished information on this applicallon which is to the best or my knowledge ttue and coma. I also certifY tbat I am the own~'T Ill' authorized agent for the
above.mmuoned JlI'OPMY and that aU construction will conform to all existins sta~ and local laws and will proem! in acro:dance with submitted plans. I am aWln: that the buildin.
offIcial CiII revoke this permit . t cause. FurthcntlOn:. I hereby 18J'eC that the cicy oftlcia.1 or a cksignee IlliY enter upon the propmy to perform needed inspcmllns.
X ~ dl-OeJYHF? ~
Contractor's License No. Dale
Permit Valuation
Pennit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
#
#
s
s
s
S
$
S
S
S
Water Meter Size S/8"; 1 If;
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
I Paid
Date 12;/0)
/ :;ii No.
$
S
S
S
S
S
S
S
S
11115 is to certifY that e request in the above application and leCOIIlpiJIyin. documents is in accon\ance with the Cicy Zonin. Ordinance iIId IlliY proceed as requcstc:d. This document
when sisned by the Cicy Planner constitutes I tempor;uy Certificate of Zonin. compliance and aUows consttuction to commence. Berore oc:cupancy, a C~'TtifJCate or Occupancy must he
issued
PIamiliill Direclii
Date
24 hour notice ror all Inspections (~2) 447.98~. rax (m) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372