HomeMy WebLinkAboutBuilding Permit 07-0883
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
-:f"s ( D f) J
C, f"c-i Q.
Date Rec' d
I. White File I PERMIT 0 I
~ ~~~w I~;liam N . 07. 0 ~53
ZONING (office use)
NW
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
Ccr+herl nL
L(;;.~ 25 (0
Dt f')o r~
L,(. NtJ
(Address)
(Phone)
Qsa/44D .7/,4'),
BUILDER
(Company Name)_
(Contact Name) _
(Address)
THD At-Home Services, Inc. d/b/a
The Home Depot At-Home Services
3200 Cobb Galleria-Suite 200
Atlanta, GA 30339
Lic# 20268257 Ph.763/542-8826
(12861\(;) J ad I (j) f(ti, f JO/\l ~
(Phone) qS;; 13tt S ~ "Oll 7
TYPE OF WORK 0 New Construction o Deck o Porch BRe:Roofing ORe.Siding OLower Level Fintsh 0 Fireplace
DAddition OAlteration DUtility Connection 0 Misc.
CODE: OJ.R.C. OLD.C.
Type of Construction:
Occupancy Group: A B
Division:
n
F
I
ill IV V A
H J M R
2 3 4 5
I
E
1;).,14fO
B
S U
PROJECT COST /V ALUE S
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
above-menl1oned property nd hat aU 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 revoke this per it just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform necdcd mspcctions.
x---=- ;<O;>'U8~Sl ct/IO{Ol
Signature Contractor's License No. Dale
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Date
Buildinl1. Otlicial
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
. [(j
TOTAL DUE
TIlls 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 requl'Sted. This document
when signed by the City Planner conslltutes a temporary Certificate of Zoning compliance and allows constrUction to commence. Before occupancy, a Cl'rtificate 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