HomeMy WebLinkAboutBuilding Permit 07-0755
Y OF PRIOR LAKE BUILDING PERMIT,
Y CERTIFICATE OF ZONING COMPLIANCE
D UTILITY CONNECTION PERMIT
Date Rec' d
I. While File I PERMIT NO
2. Pink Cily . 07 -1 c- )
J Yellow Appliclm . /
ZONING (office use)
(21 SD
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK \
ADDITION
P(l--\o(2. Ay~~ 's ~ ADO
PID Z'; - OIA- -00"3 -0
OWNER /) L. 1 -
(Name) ~~ 'l- (t\lV)'\-k\Q.
/
(Address) C~ r/J'C J1 s
\3 'C'f\S6AJ
11 be) l) 't'
BUll.DER .,
(Company N,,",,~~~~~ ~/o&_..,Q,:;;
(Contact Name) '." ~s € 6 \ 'So; \)F
(Address) 0,). /Y)U"l Jot"'-;
TYPE OF WORK. 0 New Construction DDeck OPorch
OAddition OAlteration OUtility Connection
CODE: OJ.R.C. OJ,B.C,
Type of Construction:
Occupancy Group: A B
Division:
J
E
n
F
1
ill IV V A
H J M R
2 3 4 5
(Phone)
{j,/o - 5/~ I ?J
(Phone) (}5:/ f?~i' - 5-S~ ~
(Phone) G,,/ 3A.8 - &~b .
P\ t-::> 5$ 't;;J..b
OLower Level Finish 0 Fireplace
B
S U
cc..
PROJECT COST IV ALUE $ Jqfi>O ~
(excluding land)
'('~r66-F ~)'Ch ()f\\l
x
I hl'feby cenifY lhal I have furnished information on this application which is to the best of my knowledge true and correct. I also eenify that J am the owner or authorized agent for the
above-menuo d prop"fty and lhat all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that lhe building
official ean r this permit for JUSt e se. Furthermore, I hereby agree that the city official or a designee may enter upon the proP"fty to perform needed Inspections.
a.04-4.30<o <e
Permit Valuation 1. S-OGi. -
Permit Fee S 74.-,,<\
Plan Check Fee S
State Surcharge $ I. 2--)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
ornes ~ our Building pe~.t t r len!pproVed
. 8/(0/07
Dale
Contractor's License No.
Date
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer S
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE S 7/,.,09
I Paid
Date
~~r-o(c)-r
I ~;ceiPt No. ~](~Z1
This IS to certify that the request in the above application and accompanying documents is in accordance with Ihe City Zoning Ordinance and may proceed as requ~'Stcd. This document
when signed by the City Planner constitutes a temporary Certillcate of Zoning compliance and allows construction to commence. Before occupancy, a Cl'Ttificate of Occupancy musl be
issued
Planning Director
Dale Special Conditions. if any
24 hour notice for alllnspecllons (9!i2) 447.98!iO, fax (9!i2) 447-424!i
16200 Eagle Creek Avenue Prior Lake. MN 55372
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