HomeMy WebLinkAboutBuilding Permit 07-0774
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
IADDIlESS
S'55., Cv-oss~ ~ ~,
LEGAL DESCRIPTION (office use only)
LOT cr BLOCK "7 ADDITION C
Date Rec' d
I. While File
2. Pink City
J Yellow Applico..
I PERMIT NOD 1 -01."\ 4-
ZONING (office IIR)
Pup
(AAv (2, D0t!? Z~ Ao tU. PID t5'- 30 z -D,o -'0
OWNER
(Name)
~,t I 4- L I' 0t fv1 ., ,10 iA.A ck
(Phone) ((/) ('1-) ~ ~q - 6'3" 3
(Address)
BUILDER
(Company Name)
(Contact Name) (/1
(Address)5&l// /J)emtJr/a./ /fr. /y.
TYPE OF WORK D.New constru~on DDedc Dporch
DAddition 'fAlteration DUtility Co
CODE: eM.R.C. OI.B.C.
Type of CODStrudiou:
Occupancy Group:
Division:
I
A B E
5)Afi)
M I. S U
4 5
IT
F
1
IDlY
H I
2 3
(phone) t.tGI.~:J;9..y 3J.D
(phone)
/ :5~S-() 8' .;;J..
DLower Level Finish 0 Fireplace
PR.OJECT COST IV ALUE S q I '100
(exdudiDgland)
x
1 bm:by certify that I have furnished information on this application which is to the best of my knowleclge true and comet. J also c:mify that J am the uwn~'I' or authorized agent for the
above.menhoned proptrty and that aU construction will conform to aU existina Slale and local laws and will proceed in accordallCl: with submitted plans. J am aware that the buildinJ
official can revoke this permit for' st cause. Furthermore. J hereby acree that the city official or a designee may enter upon the propeny to perform needed inspections.
~ ~rJg-#i'"? g 1!3/tJ.7
Contractor'S License No. Dale
Permit Valuation "2Su~. -
Permit Fee $ l ~-7 ("
Plan Check Fee S
State Surcharge $ \.2-(
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
pprond
Park Support Fee # $
SAC # S
Water Meter Size 5/8"; 1"; S
Pressure Reducer $
SewerlWater Connection Fee # S
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ (~. -
I ~~~ b~~~t 7
I :;ceiPtNO.~;\44
ThIS is to certify Ihatthe request in the above application and accOmp.tJlying documents is in accordance with the City Zoning OrdinanCt' and may proceed as requ~'Sted. This documenl
when signed by the City Planner constitutes a temparl%)' Certillcate of Zoning complianCt' and allows construction to commenCt'. Befon: occupancy, a C~'ItiflCl\tc of Occupancy must be
issued.
Planning Director
Date
24 hour notice for an inspections (~2) 447.98~. fu (~2) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372