HomeMy WebLinkAboutBLDG 07-0985
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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07 () 1'851
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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
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