Loading...
HomeMy WebLinkAboutBLDG 07-0985 O(~ ~I!~ //7 ~L2?/C~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT H LV lL t W:,~~, ;2.1. Dare Rcc' d I Wlo,j\\i 2. Pirtk Y,lln.. filr Cil'r AI'~ItC"'"1 07 () 1'851 \ I PERMIT NO. ~. \j...J I ZONING (urn" u,.) I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PlD I OWNER . (Name) 6.4 1- Y (Z.4 -\. L.:.~ltlt e ~ \ (Addrcss)__::> C> d S- 1--1~ u.:>{c..... J! t.Jey €- -'-.J (phone) 9 sa. -c72C;Z (0- '::;,~ '577 I" TYPE OF WORK 0 New Construction ODcck OPorcll Rc.Rooting I OAdellClon DAlteratioll OUtility Connecn n O 01 CO Mis, CODE: I.R.C. .B., Type of Construction: Occupancy Group: Division: BUILDER f) (Company Name) ~ve.J- "S tZ..J- ()l~e S (Contact Nlimc) iJ D tv SA X (Address) '7 c.:> 6 uC "'..q I\J,A. tJ 'S /JJ Ie- I A B I E n F 1 III IV H I Z 3 v M 4 A R 5 H S U PROJECT COST/VALUE S .1.0; 0 C> 0 (cxc1lldillg land) JJu..; (Phone) 1&'S -'-I d;) I '-/7p) ~ (Phone) 7ro'7 - C}. 7<-1__S<-f S 8 A fu6{LA lMl0 ORe.Sieling DLower L~vel FU\lsh 0 Fir~pl~(c I lH.:n.:by .::crtlfy ,h.at (hflW hunl$hed lnrOlm,1r10n on IhJS apphCJtlOn whtch I!; to the bnl of my knDw1cdsc uur .\t\d Cr1lfCCt I 1\$0 ~{'ltllY fJl:\I I JIH tI\e ~IWnl.:1 III ,llllh\)(IZlo:ct \l..glOI to;;l' 11m"..: III IIO(ltJ ~1('1'H'lly ;'IlLlII\,H \11 ":0n~h\lCrLOI' WIll conform 10.11 CJl\~tt"g qatC 10cJ ((lc:\1 L1W1 ttnd Wlllllll)~l?Cu II) ')(':c\,lIU~rltC' with \\lnmlt\l,;t,\ plllm I .Im aware- th.u th\.' b\.Hlchng i ,>IT'Clll a "v"kc dlls p., ,n,l for ~~~ FlIrlhcl more, I hel ehy AGree that rhe City nfTlC'~r ~;:e~~::on rhe 1>1\)I'<I'IY 10 ~.lf0rm ",~ucd m'p,'cllun, L OY\., SIy\a(\Jr~ C0nlUClur's Llccmc No -'-" D~(~-'-._'_.'---' I PermIt Valuation Permit fcc $ '73.5V Plan Check Fee S - -- S Sl<lIC Surchargl' / . 2..~ Penaltv I S Plumbing Permit Fee S Mechanical Permit fee <; Sewn & Water Permit fee I S . . I r G,b fIreplace Permit Fee I $ ~s ^\lplicalioJl B~Cllmcs YllW' Building Ptnnil When Appruvrd I --~ I I .._..._._-~-.- H\IIhlil\l~ Olrlcl:l1 ---.. D~lc Park Support Fee SAC Water Meter Size S/ll"; I", Prnsurc Reducer Sewer/Water Connection fcc W<ner Tower Ftc # S $ S $ S S $ $ S # # :# Blllldcr' s Dt:po~1l Other \ Paid Datc TOTAL DUE "rhn I) ;0 CI,.TUfy ;hJIII't. 1'1..1\,1\.;.'>' III il\l' ,l\)IJVt' ;1l/IJIiI.::I\Il..)n ;ln~\ i'I.I.:Umr;\n~I\l~ (1uc;\lmt.'ncs is ill .1CcorJ;lL\CC witl\ 111\..' City "(Hlln~ On.Lin.\ncc and mi\Y I1nKt.:\"{~.h ....:(\u\.!:i.I\.\l Illls d\lUIl.'il'nl wlH:n ~J~nt.:d lJy Ill\! C'l'y PL\lmC:1" ~~I".')I'\UH:::i I.l ltlmpUI,ll"f Ct'lti/tCc1h.' v,. Zonin~ l."umpli.lnn' .:m~ .\II,'w:'\ ~:\HIStl\lUh,m to CCJmmCllCC' ad,HC I~CC\lr..loll.''y, ;\ (,I,,'rHlki\H: lit UCC\lpJ.n'y mH\' be 1\ '\11 I,.'d Plunninl: D"~eIOt Special Ct\l\tj!I'~I\.l:.'1' ,my n~l~ --. 24 IlI\urn;;i;u, for ~II i1IS\l~(IiIlIl' (9~2) ~47:;jM~ii. ,,,. (')52) ;44i.J245 Wd0'd lNI~W 3~~l ~Ol~d ~O All) h> :<:;1 qV\V\7-n-~Jnr