HomeMy WebLinkAboutBuilding Permit 07-1042
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White
2. Pi "Ie
) Yellow
/O/;2~ft7
I PERMIT NO. 07 - to&( z.. I
File
City
Applicanl
ZONING (office use)
LC~t\ ~ vo\
~\v ct Y I'Zlu 't LeL ~ V
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2. S .1.f'2.,~. 00 ( · 0
OWNER -
(Name) \)V\ V\ '- f-C\. t'h"l
(Address) \ l \ ct S
bO V (VH\. Y c\ t
blvct Vv lUY l~~t
(Phone) U1 'J 1, vI LiO - L~'~ 0
BUILDER
(Company Name)SP\'4U^~e iL E::X\-r I'L\U ~~, LLC.
(Contact Name) bo V\ ~ V l,~ .
(Address) \7 0 tv "( [) f-- ~ '?- e..
(Phone) C1t)'L -lfLfO - l c1C) 1
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition DAlteration o Utility Connection 0 Misc.
CODE:~I.R.C. OLB.C.
Type of &nstruction:
Occupancy Group: A B
Division:
I
E
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE S LR 0 0 0 . 0 0
(excluding land)
I hl'feby cenify 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 ur authorizcd agcnt for the
above-mentioned property and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the ciry offleial or a designee may enter upon the property 10 perform necded inspections.
X ~OV\ ~~~~atre20L{c~n~~~'~icenseNo. ~
Permit Valuation
Permit Fee $
Plan Check Fee $ ...-
State Surcharge $ , . '2...
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size5/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7G, .00
ItJ /U;;' ?
Date '
I Paid tt r1; !t
Date · 107
I
This Application Becomes Your Building Pennit When Approved
~~
Buildin20llicinl
I ReCOiPtNO.~~'
By ~.
thIS 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 requested. This ducument
when signed by the City Planner constitutcs a temporary Ceniticate of Zoning compliance and allows construction to commence. Before occupancy, a Cenificate of Occupancy musl be
issued.
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850. fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372