HomeMy WebLinkAboutBuilding Permit 07-0459
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
(Please type or print and silD at bottom)
IADDIUlSS
11-18~ ttor\zm
LEGAL DESCRIPTION (office use only)
I. Wll~. File
2. Pink City
] Yellow AppJict..
\ rcil\
se
I PERMIT NO. o1..4t;,
I ZONlNGc_.> I
(2 -,
LOT
L)-'ocsl) M fJ.ure Gs r. 'Z,..g
PID 1. - Zq 4 -O'1l -()
OWNER ~ ___ ~ \ .4-
(Name) -I.LllJ
(fOI'l~
H8'"'bs+
(Phone) 9s::? YL{J. CJS I ~
(Address)
::Name) ~t}n~f/v"cu/ ~121f !rM/'O/J
(Contact Name) &..1 ((1
(Address)5&'1'i /l'emcr/a/ . /'Y. 7:4 'tUtth"
(phone) t/G/ .~:J; 9. "13 Xl
.
(phone)
6-5C. 6' ~
-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK D\New Consuen DDeck OPorch Re.Rooftng
OAddition ~tion OUtility Connection 0 Mis .
. CODE: OI.R.C. OI.B.C.
Type of CoDStIuction:
Occupancy Group:
Division:
I
A B E
ill IV V A B
HIM R 5 U
2 3 4 5
n
F
1
PROJECT COST/V ALUE $ q 19CO . CD
(exdudingland)
I hereby certify thaI I have furnished information on this application which is to tile best of my knowlcd8c true and COtTCCI. I also certify that I am the own.... 'If authorized asent for tile
above-mcnboncd property and that aU construction will conform lO all existinl state and local laws and will proceed in a=dance with submitted plans. I am aware that the building
;ci~ canaL ij;)U~ FU~fi;;:l5heci~ 0;; ;de;; ;;7 the propcrty topcrform needcfflo+
SignatUre Contractor's License No. Dare
Permit Valuation Z. ~ oD. -
Permit Fee S 14.. ,,-
Plan Check Fee S
State Surcharge $ L1<
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Pennit Fee S
Gas Fireplace Permit Fee $
5 YourBuildinl~ermit A n'
8 0
ale
Park Support Fee # $
SAC # S
Water Meter Size 5/8"; I It; S
Pressure Reducer S
SewerlWater Connection Fee # S
Water Tower Fee # $
Builder's Deposit S
Other S
TOTAL DUE S 1'=>>.-
I :;ceiPtN~f3[1tJi
.
I Paid
Date
~J>'
TIlls is to certify that the request in the above application and accompanying documents is in accordance with the Ci~ Zoning Ordinance and may proceed as requested. lbis document
wilen signed by the Ci~ Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cl-niflCltc of Occupancy must be
issued
Planning DiIeclor
Date SIieClA!Coadiliotll, if any
24 hour notice for all Inspections (~2) 447-9850. fax (~2) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372