HomeMy WebLinkAboutBuilding Permit 07-1036
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
~ to ~3 PQ~" twoo J
o y\ '^-l
Date Rec' d
I. While FiI. I PERMIT NO
Z.Pink City .D7-i~3~
J Yellow Applice.. .
I ZONlNG'__l
LEGAL DESCRIPTION (office use only)
LO-rq BLOCK"3 ADDITION L-uo...'t) HI).:;.G-' ~\~J .'3{li)_
PID -;'S~ -3'1-0;8 - 0
OWNER.
(Name)
(phone) q~ l-lf 41 - 10 2 s- 4
}IM- ~tv,
y (o~ '3 p'-\.. \t-wo cd
{)... ,\.-(.
(Address)
BUILDER.
(Company Name)
(Contact Name) 121
(Address)5&'1/ /J)em()r/a/ /fr. /1.
TYPE OF WORK DNew Construction
OAddition OAlteration
. CODE: OI.R.C. OI.B.C.
Type of Ccmstruction: I
Occupancy Group: A B E
Division:
n mIVVAB
F HI MRSU
1 2 3 4 5
(phone) uG/'//'.?;9. ~3;1-()
,
(phone)
.# :5-StJ 8' ~
.Roofing ORe.Siding OLower Level Finish
o Misc.
o Fireplace
PROJECT COST /V ALUE S
(excluding land)
S') l~g
I bmby certify that I have furnished information on this application which is 10 lhe best of my know1edg~ tru~ and correct. J also certify that I am lhe own,... or authorized accnt for lhe
above-mentioned pr'Op<!l'ly and that all constrUc:lion will conform to all ~xislini Slale and local laws and will procmI in accordance with submilled plans. I am awan: thaI the buildin.
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Signature Contractor's License No. Dall:
Permit Valuation '2 S c:..::::v . -
Permit Fee $ 1 4.- , '\
Plan Check Fee S
State Surcharge $ \ ' "l.-.)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
-v---r:;r;
tD 7- r t)
, Date-
Park Support Fee # $
SAC # S
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit S
Other S
TOTAL DUE $ -rro-. -
I Paid
Date
~c;.._ - ,
6 ("L,fO"1
I Receipt No. r 4~0 f-
By IW l
ThIS is 10 certilY Ihallhe reqUOSI in Ih~ above application and accompanyin. documenls is in &l:con\anc~ with th~ City Zonin. Ordinance and may proceed as requl'Stc:d. This document
when siJncd by the City Plannor constitutes a t~mpor;uy Cmillcal~ of Zoning compliance and allows construction 10 commence. B~fOR occupancy, a Cl'l'liflClle of Occupancy musI be
issu~d.
Planninl Director
Date
24 hour notice for alllnspectionl (~2) 447.98!qJ. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372