HomeMy WebLinkAboutBuilding Permit 07-0379
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
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TICl\ \ S~
;>0810
Date Rec'd
I. Wh~e File
2. Pink City
1 Yellow Applicam
51zz(o 7
I PERMIT NO. 01- 03?J I
I
I WNING ,..... -l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Z<;:". ?.--Ci4- . 0 2..0. 0
~=Rm\ \(~. +- Deb Srv1I-Vl1
(Phone) qlj'). .393 .J03 L
(Address)
~~N.me) ~J~OIJV'fM'/ !.Nlln<-{f,ba
(Contact Name) &: I' t.Q.
(Address)5&l// /Jjemor/a./ ,/fr. /y. 7~I.L)tL/a"
(phone) uG/'Y:!J9. t".3X)
(phone)
6-StJ 8' ~
TYPE OF WORK O~New Construction ODed OPorch )dRe.Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAddition ll'IAlteration OUtility Connection 0 Misc.
r- ~ . cCk af'i\
. CODE:W..C. OI.B.C. PROJECT COST/VALUE S ~ ~U.U\....J
Type of C%"~on: I n ill IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certify lhal I have furnished informalion on Ihis application which is 10 lhe besl of my knowledge true and comet. J also certify lhat I am the uwner Ilf authoriZl.-d agenl for the
above-menboned property and lhal aU construc:lion will COlIform to aU existin& stare and local laws and will proceed in accordance with submitted plans. J am aware that the building
official c~ke Ihis permit for just cause. Furthermore, J hereby agree that the city ofllcial or a designee may enter upon the property to perform needed lIupcctions.
xdil0.. .-/-.tA/l~ c?-O~ (i~yq:~ .5/9./ICJ1-
Signatun: Contractor's License No. ' Date
Permit Valuation ~~d,Da
Permit Fee $ 71{, 7~
Plan Check Fee S .
-
State Surcharge $ J, z.S-
Penalty $
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer &. Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Buildinl Permit When Approved
~~
Buildin Official
.r/2~7
Date
Park Support Fee # S
SAC # $
Water Meter Size 5/8"; 1"; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE $ 7/,,00
I Paid "'-.,,, ,.00
Date
I :;ceiPt N:t:SI 7
-r:J=.
2/ to '3..7
TIlls is 10 cmify Ihalthe request in the above: applicalion and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documcm
when signt-d by the City Planner constitulcS a temporary Certilicate of Zoning compliance and aUows construction 10 commence. Before occupancy, a Ct'l'tifu:atc of Occupancy must be
issued
Planning Dim;tor
Date Special Coaditions, if an
24 hour notice for all inspections (~2) 447-9850, fax (~2) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372