HomeMy WebLinkAboutBuilding 06-1054
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CITY O~ PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I/. Z/, 0(,
11 /g~~ I
l/ trJt .(jL T}L/~i L-
LEGAL DESCRIPTION (onicc IIIC only)
I LOT
BLOCK
ADDITION
(phone) b /2 - ~~.:;- - /2 </ T- .
OWNER_ ' ,
(Name) 'JlPF ~ .rr;m y ~ f'~T'tJ2-S.C".J.
(Address)
I. W1\hc ,,~
2. """ thy
J. Ylilow Appllcaoa
I PERMIT NO. ~ . /054--1
ZONING (ctIICC\liC)
,::. JS.tJ
PlD zS. 03(". 0{9,O J
BUILDER
(Name)
(Contact Name)
(Address)
'Budget Exteriors
8017 Nicollet Ave S.
Bloomington, MN 55420
PH: 1-877-310-1742
FAX: 1-952-887-1659
(Phone)
(phone)
[]Lower Lc'let Finish
ODedc Drorcb DR.c-RooliDg [JR.e.SidinC
o Fireplace OAddition )oJ'lteralion W j nPOW~.DUti1ity ConncctiOll
P' I /1t.:~ '3
PROJECTCOSTIVA!.UE (excludinglmdl S 7 '-/ '-/ l- - &0 tJl'/.- tii
1 hereby ~rtify that I have I\lmisbed information on this appliurion wbich is to the bc$l: of my lcnowledp trUe and correct. I also certify that I un me DMIeI' or
luthonzed aSl!lit tbr the ab<we-mennoned propet1Y ancllhat aU constrUCtion will confonn to all exisMC staU! and loca1laws aIICl will procncIln Ic:cordmCe with
,ubmiaed plilU. l.un aware that the builllin& offtcial an revoke this permit for just ~use. Furthermore. 1 bereby a,,-ee thu the cUy official OJ · daipee may
. enler upon th ropcny to pi! ? eedecllnspecl1Ons. .
(I &5~~
COtIll'aCtor's Lioense No.
This ApplicaUoD Becomes Your Bu dine Pennit WbeIl Approved . 0 No.
II. ~/~ 0
BuildinCOfficial Dati jf-t-Ht...-{...- Fate- ~nl '9 /MIO
IN /I t- / N.// t:r1 0 tJ!;;
This .. \0 c:a1I/)' llIat the reqllU\ III lhe above applIcallon and acc~ d0l:\l1llClllS Is In ~-"(t! 'filii lIle Cit)' ZCIIIftt 0nI1ltUl<< - may prOCCl4 U reqvtnad. ThiI document
wilen JipIc<I b, lIle City Plan.... mDSlil\llU a lemporary Ccr1i&cIIR of ZDtIllII c:omp/illlc. and ailoWI mtIll1VCllorIro cornmellCC. llefore -Pane:)'. a ~ of ~ IIIDIC "
isN.c1.
TYPE OF WORK
o New Connruction
o Misc.
x
Permit Valuation
Permit Fee S -7 ~ I 0-0
Plan Chd Fee S
Scate Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer &: Water Permit Fee $
Gas Fireplace Permit Fee S
I/-/~-o~
Date
Park Support Fee ,. S
SAC # S
Wa~ Meter Size S/8"; I"; S
Pressure Reducer S
Sewer/Wa~ Connection Fee ., S
Water Tower Fee . S
Builder's Deposit S
Other S
TOTAL DUE S 'f~, e-t!).
P1l11llilll Director
0-
N hoar Bode. for .11 illspcetiOD!l (
Special CQIIdillocls. if any
1) 44'-4145