HomeMy WebLinkAboutBuilding Permit 07-0579
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNEcrION PERMIT
I ::;~;:-Ro:w~od
Rd. NS
~. E. SicaJw I PERMIT NO. Ot ,0571
I I ZONJNG,__,
LEGAL DESCRIPTION (office Ute only)
LOT
ADDmON
PID2..~_3\() .0(Q.O
BLOCK
~=)vn. Ra.e
(Address) 14 7 Sb
1s,J - J./.O"3 - boo/
M S-37~
(phone) (p 5"1 - c.J- 30 - J....;). t.f <f
(phone) ~"SQ m~
SStf3S-
TYPE OF WORK 0 New CODStruction ODec:k OPorcb ')s(Re-Rooling DRe-SidiDa DLower Level FinIsh 0 Fireplace
DAddition DAlteration DUtility Connectioa 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of Coastmction: I
Oca1pancy Group: A B E
DiYisioa:
n mIVVAB
F HI MRSU
1 2 3 4 5
PROJECT COSTIV ALUE S
(excludiDlland)
I hereby certifY dial I haft liIrnished infonnalion on Ibis application wbicb is to \be best cll\1y IaIowIed8r aue and CIlI'm:t. ) also certifY \bal I am \be owner ,. aull1orizl:d qenI for \be
above-menl1oncd property and \bal aU ronsttUCIiDn will t'OIIfbnn to aU exisli"l stale and Jocallaws and will JlI'llCftd in ICl:OlIIana: wi1b submiaed pIIIls. I am aware 1baI1he buildinl
offICial can n:voke,1his permit for j use. E , I hereby aane \balthe city ofticiaI or a cksiptee may enler upon the)llll)laty to perform needed msp<<tions.
/).001.. 70 ($ 8 i " ~:z. 7 -0 7
ContrlClOr's LiCIeIIse No. Dale
Permit Valuation I'l 6fYO
Permit Fee S 1h~
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
Tbis ApplkatiCIII Becomes Y -1IuiIdinI Permit WIIea AppI'Oftll
Building Official
Date
Park Support Pee # $
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer $
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUB $ 7~ rf)
11NO
.s~87
I Paid
Date
7!fF7
This 1110 c:ertilY thaI die request in \be abow application and aa:ompanyinl documents is in accordance wi1b die City Zoniq 0nIinanc:e and may JlI'llCftd as~. This documenl
when sipcd by the City Planner COIIIlilulCS a temporUy Certificale cI ZoniD& compliance and allows construction 10 c:ontIIIma!. Before occupancy, a Ccrtilicale ofOc:cup8ncy must be
issued
PIuuiJJa Dinll:lor
))IIfc SoecW COllliitlonl. if mY
14 hoar nolin for all illSpecliou (~:Z) 447-91!18. fill (9S:z) 447-4145
16200 Eagle Creek Avenue Prior Lake, MN 55372