HomeMy WebLinkAboutBuilding Permit 07-0908
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
(Please type or Prin. '~dp d:
I ADDRESS
\ ~~5" \J tAt f\CL
Date Rec' d
1. White File
2. Pink City
J Yellow Appliclnl
c
7~ d!--
I PERMIT NO. 07.0108/
I I ZONING C-_l I
Our\! ~
LEGAL DESCRIPTION (office use only)
SS.
LOT
BLOCK
ADDITION
PIn 2-5. 335. 037.0
I :::~~~~,~~~
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Bun.DER ,
(Company Name) {..L;~LV~~ --=R~o.&-estl..f'\c~
(Contact Name) ~,":"."'" 12....s <E:'
(Address)
(Phone)
......
(Phone) Q5:jr<~P~SS~~
(Phone) (#/ 3A8 - 8.s~ .
IX ~ 'OS l.f;to
TYPE OF WORK 0 New Construction ODeck o Porch ~Re.Rooting o Re.Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: OI.R.C. DI.B.C. PROJECT COST IV ALUE $ ~~OO~
Type of ConstJUction: I IT ill IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
I hL....by ctrlifY thaI I hay. furnished information on this application which is to the best of my knowledfc true and correct. I also certify that I am the owner or authorized agent for the
aboye.menuoned propertY and that all truction will conform to all existinc state and local laws and will proceed in accordance with submitted plans. I am aware lhat the building
official can re this permit for just c . Fu ore. I hereb)' agree that the ciry official or a designee may enter upon the property to perform needed Inspections.
X - ao+43Dcc,<e q -18-0+
Contractor's License No. Dare
Permit Valuation
Permit Fee $
Plan Check Fee S
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your Building Pennit When Approved
Buildine Official
Oatc
Park Support Fee # $
SAC # $
Water Meter Size S/8"; I"; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS is to cenify that the request in the above application and accompanying documents is In accordance with the Ciry Zoning Ordinance and may proceed as requL'Sted. This document
when signed by the Ciry Planner constitutes a temporary Cenilicate of Zoning compliance and allows construction to commence. Before occupancy, a CL'Ttificate of Occupancy must be
issued
Planning Director
Date Special ConditiollJ, if any
24 hour notice for all Inspection. (9~2) 447-98~. fax (9~2) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372