HomeMy WebLinkAboutBuilding Permit 07-0473
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
!R,.r 2 _U 7
1~~;:~;;:1v
I. White File
2. Pink City
] Yellow Applic:o..
.Jt.;
/
ifF
I PERMIT NO. 67_ () +7 3
I ZONlNG'__l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z':;;. l q4- ()(aO.O
OWNER
(Name)
(Phone) OSd. ~'1(). 317 ~
(Address)
=:Namelt..IIVkan/ ~""h"-{I<o/J
(Contact Name) tV' (/)
(Address) 6&4'/ ;J;i/n~r/a./ /fro /1 7~ ''ttJetA,.
(phone) uG/,~:J;9..y 3XJ
(phone)
/ 6-5tJ8'QJ.-
TYPE OF WORK O\New Construction
OAddition DAlteration
OLower Level Finish 0 Fireplace
. CODE: OI.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
n mIVVAB
F HI MRSU
I 2 3 4 5
PROJECT COST/VALUE s .j()'IO. ()()
(excluding land)
I hereby cenify that I have furnished information on this applicalion which is 10 the best of my knowledge DUe and comcl. ) also certify that I am the owner (IT authoriZl.'d alJCnt for the
above-menll propet1y and t t aU eonsDUction will conform to aU existina stare and local laws and will proceed in accordance with submitted plans. I am aware lhat the buildin.
official c oke this permil r, j t caus rthermore, ) hereby aJll'Cl! that the city official or a desisnee may enter upon the property 10 perform needed Inspections.
(PI/I/O?
Date
rP-,1~. 8 ;;- </ fi-/
Contractor's License No.
x
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # S
Plan Check Fee S Water Meter Size S/8"; I"; $
State Surcharge $ Pressure Reducer S
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Pennit Fee S Other S ~
A ,
Gas Fireplace Permit Fee $ TOTAL DUE rrl~ ,/
~ I /
This Application Becomes Your Buildlna Permit When Apprond Paid /v...- I ReceiPt fei. S---fOJI I
Date /4 . I l . .; .., I Bv A ,
Building Official Dale !J
ThIS is to certify that the request in the above application and accompanyin. documents is in accordance with the City Zoning Ordinance and may /froceed as requ~'Sted. TIm document
when si.ncd by the City Planner constitutes a lempor;uy Certificate of Zoning compliancc and allows consDUction to commencc. Before occupancy, a C~Ttiru:alc of Occupancy must be:
issued
Planning Director Date Special Coaditions, if any
24 hour notice for all Inspections (9!l2) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372