HomeMy WebLinkAboutBuilding Permit 07-0858
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE, '
AND UTILITY CONNECTION PERMIT
Date Rec' d
C;, cO. ,97
=:rsr"';"~
I A ~g 'Cin(j;"
I, Wlli.. Fil.
2, Pink Cily
1 Yellow AppliCllm
I PERMIT NO. 07,08sBI
I I ZONING,__. I
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12:;(
-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I::: ;JOd~~;~ mr~
(Phone)
BUILDER ,
(Company Name) {.L;~""crA~ ~eMo.&-Eo.Q..\.f\~
(Contact Name) ~,,,:,,\"\ 12..t.s €
(Address) mal. 'fot"->
(Phone) Q5;j~~R"SS~~
(Phone)"" 3A8 -KSl".'
V\~ SS'-t~D
'-
TYPE OF WORK. 0 New Construction DDeck OPorch ,~Re-ROOfjng ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: OJ.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
J
E
n
F
1
m IV V A
H J M R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
57~S:.-~
I ht'Ceby cenil)l lhat I have furnished information on this application which is 10 the best of my knowledge true and comet. J also cenil)l that J am the owner ur authorized agent for the
above-mentIoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submilled plans. I am aware that the building
official can rcv is permit for ju use. Funhermore, J hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
. ~ ad+t.f30<o <e
x
Contractor's License No.
Date
Permit Valuation 57~) Park Support Fee # S
Permit Fee S SAC # $
Plan Check Fee S Water Meter Size S/8"j I"; S
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other S ......
Gas Fireplace Permit Fee $ TOTAL DUE S /Nl. -
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This Application Becomes Your BuDdlnll Pennit When Approved I Paid -Il€ .- I Recei )tNo_ 5~ (, I 1
I Date q~ 0'7 I By /, '/'. ,
I t
Building Official Dole
ThIS is to cenil)l 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 signt-d by the City Planner conslitutcs a temporary Certificate of Zoning compliance and allows eonstruclion to commence. Before occupancy, a Cl'l1ificate of Occupancy musl be
;.sued
Planning DiRctor Date Special Conditions, if my
24 hour notict for aU Inspections (9!12) 447.98!\O. fax (9!12) 447424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372