HomeMy WebLinkAboutBuilding Permit 07-0943
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LEGAL DESCRIPTION (office use only)
Date Rec' d
I White
Pink
'\ Yellow
fo'~r 87
I PERMIT NO. 07-0''fj I
File
City
Arplicant
ZONING (office use)
~
LOT /5BLOCK
ADDITION
OWNER 1.
(Name) jZFll'a hf"lo....
(Address) / L/ 6-;>':'
50.. )( S C/Y"".
PID ~ .28'. 01
(Phone) 75,,:) - 9-. ~ (,'- ,? _5 3 <. I
mlU ):>,' '7 fA
BUILDER
(Company Name)
(Contact Name)
(Address) ;Z
;; ~ 5' J (' Ju; ;-u B '-'ii' ( c6 I S'
-:SC)k ph J, ~'l!-~ y,~ \ \
,,- 0 It
TYPE OF WORK
CODE: '5z!J.R.C. DI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
III
H
2
IV V
I M
3 4
LI"C
7{,3 - '--l 'J tt -;). ? C ?--
ORe-Siding OLower Level FinIsh 0 Fireplace
o Mise
A
R
5
B
S U
$
9,606.0 0
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have hlrmshed mfmmatlOn on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner m authul!zed agent ftn the
abovc-mentlOned property and that allellnstructHln will confi)rm to allexlstmg state and local laws and WIll proceed in accordance with submItted plans I am aware that the bUlldmg
"flieral can revo ' It fi)r Just cause Furthermore, I hereby agree that the erty official or a deSignee may enter upon the propel1y to perfilfm needed mspectlons
x
Signature
c."..-__
,.
Permit Valuation ~2~OO,. 00
Permit Fee $ 74.7S
Plan Check Fee $ r---
State Surcharge $ 1.2S'
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~,o~ (D/7G7
;J.. 0...5> I '7 9 '7 5
Contractor's License No.
/c -.Q-() ~
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
,
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 7'.00
I Pa;d t~.D~
Date "z;' ?
Receipt No. 51{ 10, "7
By 1;;
,
ThiS IS to certify that the request 10 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 Clmstltutcs a temporal)' Certificate of ZOl1lI1g compliance and alhJws construction to commence. BcflJre l>ccupancy, a Certificate ()f Occupancy must be
isslled
Planning Director
Special Conditions, if any
Date
24 hour noticr for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372