HomeMy WebLinkAboutBuilding Permit 07-1065
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
V\ SV10ves.
Date Rec' d
/1 ~.b 7
I White
2. Pink
J Yellow
File
City
Applicant
, PERMIT NO. 07_ I ()(P5'.
ZONING (office use)
P{l()~ LV\.~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER \l.., . \
(Name) .j.e,X ('\ n lA VV\ {
(Address) 16" '?lPD ~ \ v \ Ct V\lV\ ShuV.lS
(Phone) q 51 . l_\l-t 1, ~t?j Cj 0
p" l 0 'v ~ U
lJUILDER
(Company Name) 5f\e..-l V\O} C ~ EAte V l 0 It <:.. I ( (
(Contact Name) 1b6Y\ S; V U VlLJ XPl'1
(Address) P JY\. le..-
TYPE OF WORK 0 New Construction DDeck OPorch
OAddition OAlteration o Utility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
ill IV V A
HIM R
2 3 4 S
(Phone) tJt; '2 . '-tlfO ' I '1(1 1
(Phone)
e-Roofing ORe-Siding
o Misc.
DLower Level Finish
o Fireplace
B
S U
PROJECT COST/VALUE S L 1? 6 D
(excluding land)
I ht'1"eby certify that I have furnished information on this application which is 10 the best of my knowledge true and correct. I also certify Ihat I am the owner ur authorized agent for the
above-mentioned property and that aU construction will conform to an existing state and Joca' Jaws 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 city official or a designee may enter upon the property to perform needed inspections.
x_~~~ 2.D4Dl'~y.- ~
ignatur Contractor's LIcense No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Buildinl1. Ollicinl
Onle
Park Support Fee # $
SAC # $
Water Meter SizeS/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7&.00
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 document
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must b<:
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