HomeMy WebLinkAboutBuilding Permit 07-0599
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l:::>oVc c +. I\I.E.
Date Rec I d
'I. 10, () 7
I. While
2. Pink
) Yellow
I PERMIT NO. 07, tJS97 I
File
City
Applicanl
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
fV1l V;f
llJs 4-L.
~ SLlSA ~I
~V c C:=L I'd t:
(Address)
r LC\~
(Phone) tvl:J- -'604 -d.-'6<oo
rY'\ d '55 37a-
IJUll.DER
(Company Name)
(Contact Name)
(Address)
~. rIatlR_~
P.O. Box 668 ffiv L Sclm p":x-:J
Pril'T Lak~ MN 55372 . ..
(Phone)
(Phone)
qs.;}- 4t.1--0- Ilcf7
CjS&- - 48-+-- ~Slo)
TYPE OF WORK. 0 New Construction ODeck OPorch ORe-ROOfing~e-Siding OLower Level Finish
OAddition OAlteration OUtility Connection 0 Misc(
CODE: OI.R.C. OI.B.C. PROJECT COST IV ALUE $
Type ofConstIUction: I IT ill IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 S
o Fireplace
~qCD,
oc)
1 h~'feby certify thiltl have furnished inforrniltion on this ilpplication which is to the best of my knowledge true ilnd correct. I illso certify thiltl iIm the owner tlr authorlzcd agent for the
ilbove-menuoned property and that aU construction will conform to all existing state and local laws and will proceed in accordance with submiued plilns. 1 am aware that the building
offic' Ciln revoke this permit for just Ciluse. Furthermore. 1 hereby agree that the city officiilj or a designee may enter upon the property to perform needcd tnspectinns.
X ( , L L Jur) ,;)Ot-f-u;)-I ~ ~ '...21 j 0,
Signature Contractor's License No. tate
Pertnit Valuation
.
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Dale
Buildin20llicinl
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
ThIS is to certify Ihat the request in the ilbove ilppficiltion ilnd ilccompilnying documents is in accordance with the City Zoning Ordinance ilnd may proceed as requl'sted. Th!s dtlcumenl
when signed by the City Planner constitutes il temporary Certificilte of Zoning compliance and allows construction to commence. Before occupilncy. a Certificatc of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372