HomeMy WebLinkAboutBuilding Permit 07-0667
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
d I ~f>8
Date Ree'd
L White Fil. I PERMIT NO
2. Pink City .
3 Yellow Applicant
7-~c,l
(Pkao< ""<<............ ......~
I ADDRESS
\lb7~ Toror'\
Ave, SE'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I ZONING ,""" -l
~=R~e-a li.<a 'Rau(Y\
(Address)
(Phone) q5a-d~lo-~dO\o
~:N.me) ~t}J(> I/Vtlcu/ 6hll!r"Lf}()/J
(Contact Name) 6.4 I' (~
(Address) 5&'1/ /J) t?m()r /a./ . /Y. ',4.Wt1ch r ? .#
(phone) ur;I.'/:J;9. .iJ'.3X)
(phone)
6-5tJ 8' ~
TYPE OF WORK O\New Construction ODed OPorch ~.Roofing ORe.Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of ConstIuction: I
Occupancy Group: A B E
Division:
n mIVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST /V ALUE S L.J lo I ~ . ?i' a
(exdudingland)
I Mreby certify that I hav~ furnished information on this application which is to the best of rrrt Imowledg~ tru~ and COl'RCI. ) also certify that I am the own." or authorized agent for the
abov~-menl1oned property and that aU construction will conform to aU ~xistin& stale and local laws and will procectI in accordance: with submill~d plans. ) am aWilr~ that the buildinS
official can mrok~ this permit for .ust caus~. Furthermore, I her~by asree that th~ city official or a desisn~ may mt~r upon th~ property to perform needed Illspections.
X . c?~.;) S" r/t/i~ 7 t 'd..3 ) 0 1
ignature Contractor's License No. Dare f
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
S
S
$
S
S
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
7 J2$/~l
I
I Recei~ No.
By '6
I Paid
Date
s
s
s
s
S
$
S
S
S
SCf2tAL
ThIS is to certi that the requ~st in the above application and acc01n))mying cIocumenls is in accordance with the City Zoning Ordinanre and may proreed as requested. This document
when sign.'li by th~ City Planner constitutes a t~mpor;uy Certificat~ of Zoning compliance and aUows construction to commenre. B~fore occupancy, a C.'l'tirlCatc of Occupancy must be
issu~d
Planning DiIector
Dare
14 hour notice for an inspections (932) 447-98SO. fax (932) 447-4145
16200 Eagle Creek Avenue Prior Lake, MN 55372