HomeMy WebLinkAboutBuilding Permit 07-0609
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
;J I L{57
Date Rec' d
L Wbite File
2. Pink City
) Yellow Applica..
1~~~~:t1+O
I PERMIT NO. 7- lIOr
II ZOND<G'__l I
~ \Je
sr
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I ~=R Yo..ul
(Address)
:.: N"",,) ~r)"" 1/ eo"" r/ I-hlrh /<-{Ii (,It:]
(Contact Name) 041 t~
(Address)6&l// ;J;emcr/a./ ,/t. /y. 7~ ''aJa:.A,.
"* Ho.,r y
(
(Phone) qS;J. -;;);).0 - 33-'751
EVfU1S0n
(phone) uG/'~:l;9..y 3xJ
,
(phone)
.# 6-S()8~
TYPE OF WORK D,New Construction
DAddition DAlteration
OLower Level Finish 0 Fireplace
. CODE: OJ.R.C. OJ.B.C.
Type of CoDStIUction: I
Occupancy Group: A B E
Division:
n WIVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
455'9. ,/0
I hereby certify that I ban furnished information on this application which is to lhe best of my knowledge true and correct, I also certify that I am the own~T or authoriZl.'Il asent for the
above-mentioned propeny and that all construction will conform to aU existinl stale and local laws and will proceed in accordance with submitted plans, I am aware tMt the buildin8
official can revoke thi< permit for just cause. Furth , I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X a c9tfrP-g~t/f~ 7-1- tJ 7
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
#
#
$
$
$
$
$
$
S
S
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
I Paid
Date
1 Jill TJ1
I
I ~;cei~O.
$
S
S
$
S
S
S
$
S
7.-
5"~~ Y
ThIS is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when sign.'" by the City Planner constitutes a temporuy Ccrtillcate of Zoning compliance and allows construction to commence. Before cxcupancy, a C~'ttirlCate of Occupancy must be
issued
Planning DiIcctor
Date Special CoacIitions, if any
24 hour notice for an inspections (~2) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372