HomeMy WebLinkAboutBuilding Permit 07-0365
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
( , (i -,;1
~. '::" ~:;y I PERMIT NO. 01,03&S'1
J Yellow Applicant ,
Wi \ 'CWWOCJ6. (::A C 'C [ZONlNG'__> I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-C:;- . 3Z& . () IS . ()
OWNER -
(Name) ck?rr \/
I
I (Address)
Sc It}M~d+
(Phone) g b? -;JJC . YO:1i-
~=:N.me) /.t}n dV"'u/ !..'i>(flnL(hb"
(Contact Name) 6.4 r (/)
(Address) 5&l// /J UJJ(}r I'a-I Ai,. /y. 7~ 'tt..JctA I- /77/1'
(phone) (.161 ,y::j 9. "V.3 ;){)
(Phone)
6-Sc:J E' ~
TYPE OF WORK D\New Constt:uction o Deck DPorch Re.Roofing ORe-Siding
DAddition ~lteratiOn DUtility Connectio 0 Misc.
CODE: OX.R.C. OI.D.C.
Type of Construction:
Occupancy Group:
Division:
A
I
E
v
M
4
n
F
1
ill IV
H I
2 3
B
DLower Level Finish
o Firepla~
$ 2;3 YO .CQ)
A
R
5
PROJECT COST /V ALUE
(excluding land)
B
S U
I h=by cmify that I have furnished informalion on Ihis applicallon which i, 10 the besl of my knowledge true and correct. I also cmify lhall am the owner or authorizl'<i a""nt for lhe
above-mentIOned property and that aU construction will conform to all existing sr"te and local JaW! and will proceed in accordance with submitted plans. I am aware thatlhe buUdinS
official c rrvo e this permit for just cause. Furthermore, I here asree that Ihe city official or a designee may enler upon lhe property to perform necd~ ir;:nsJ ~-1
X r~OJ--!iif.yffY ~
Contractor's Li~f1se No. Date
Permit Valuation
Permit Fee S
Plan Check Fee $
State Surcharge S
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee S I
This Application BecOllU!s Your Buildlnll Penult When Approud
Building Officiol
Date
Park Support Fee #l- S
SAC # S
Water Meter SizeS/SOl; I"; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE $ '7&. uV
I ~~~ ~ ~~()7
~NO
5"l.vO{~
nus is to cmify that Ihe request in the above application and accompanying documents is in accordance wi~h the City Zonins Ordinance and may proceed as requl"Slcd. This doculllCnt
when sisned by the City Planner constitutcs a temporary Certillcate of Zoning compliance and allows construction to commencc. Before occupancy, a Ct"Ttificatc of Occupancy must ~
issued
Planning Director
Date Special Conditiom. if any
24 hour notice for III Inspections (9~2) 447-9850. fax (9!'iZ) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372