HomeMy WebLinkAboutBuilding Permit 07-0588
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
L White Fil.
2. Pink C~y
] Yellow Applic:e..
I PERMIT NO. 0' ... 588 I
I ZONING (oftice use) I
. (L - ( .
Please
ADDRESS
I'll03 Torot?-Io
live
-
LEGAL DESCRIPTION (office use only)
LOTB BLOCK ~ ADDITION W
~
PID
_ z.8a ..C)~..O
OWNER C I j I .
(Name) i (\0..1 H /At! bne.-r
(Address)
=':Name) ~Jh1 fiV'Jar/ t'ta.fcln,-dltJ/J
(Contact Name) &/ (.Q.
(Address)5&t// /J.'em()r/a/ /fro /Y. 7~. 'a;a.AI'
(Phone) 9Sd.- '-Il/7 - 7~gd
(phone) US! ,~ -39. .y 3 XJ
(phone)
/ 6-5() 8' aL
TYPE OF WORK D\New Construction DDedc Dporch J .Re.Roofing ~.Siding DLower Level Finish 0 Fireplace
OAddition DAlteration DUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction: I
Ocatpancy Group: A B E
Division:
II
F
1
ill IV V A B
HIM I. 5 U
2 3 4 5
PR.OJECT COST IV ALUE
(excluding land)
S /013dS-"trL
.
I hereby certify that I have furnished information on this applleatlon which is to the bat of Ill)' knowledJe true and correct. I also certify that I am the uwner or authorizl'd aFnt for the
above. mentIOned property and that aU construction will conform to aU existifta state and local laws and wiD proem! in accordance with submitted plans. I am aware lhat the building
official can ~oke this permit for just cause. Furthermore. I hereby agree that the city official or a desisnee may enter upon the property to perform needed inspections.
,7-tJ~ SJ ,;.yf-y/
Contractor's License No.
x
7-.3-07
Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
S
S
S
S
$
(-~
Park Support Fee # $
SAC # $
Water Meter Size S/8"; lit; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '7
I Paid 1f1J" 1 I Receipt No. J-f-f6t?
Date By ILIJ "
nllS 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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before uccupanc:y, a Cl"ftificatc of Occupancy must be
issued
Planning Director
Date Special Coaditlons, if In
24 hour notice for alllnspectionl (9!12) 447-98!lO. fax (!)!IZ) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372