HomeMy WebLinkAboutBuilding Permit 07-0512
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE.
AND UTILITY CONNECTION PERMIT
:2/oCfg
Date Rec' d
0. ZO 07
I ~;............-
Y-1 IS.. ~ !lot' J -Lt:JYl
I PERMIT NO. 07_ 0.92-1
I ZONING '....., I
I. While File
2. Pink City
) Yellow Applioont
'T('~,
SE
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
AmJ [I~r-fU-
q5.:z -.;1dL -dIL171
I g,= (' .f'~ """
. (Address)
=:Name) ~JJO IIV""'- rd /;",cln<-l-hb/1
(Contact Name) 6.4 r t~
(Address) 6&'1/ /J.'e/l}()r/a./ . /Y. 7~ ''tUttA'-r
(Phone)
(phone) //6/''/.2;9- 'f3x)
.
(phone)
/ :5-S-()8~
TYPE OF WORK O\New CODStru..1on DDedc OPorch 'id'Re.Roofing ORe.Siding DLower Level Finish
DAddition "}'<.Alteration OUtility Con~n 0 Misc.
. CODE: OI.R.C. OI.B.C. PROJECTCOST/VALUE $
Type of CoDStnlction: 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
o Fireplace
6lS8~ ~()
I Mt"cby certify lhall havr furnished information on Ihis application which is 10 lilt: bat of my Imowledge trur and corm:t. I also certify that I am Ihe owner or authorized apt for lilt:
abovr-mrnboned propeny and thaI aU construction will conform to aU existina state and local laws and will proceed in accordancr with submitted plans. I am aware lhat the buildinB
official can rrvokr this prrmil for jusI causr. Futthrrmore, I hrrrby agrrr thatthr city official or a drsignrr may enlrr upon thr propt'I1y to pcrf'onn nrcdcd Inspections.
X ~tJe7 FJY?~ t -/3- 07
Contractor's License No. DaU:
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer &. Water Permit Fee
Gas Fireplace Permit Fee
#
#
$
$
$
$
$
$
S
$
Water Meter SizeS/S"i I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
##
This Application Becomes Your Buildinc Permit When Apprond
Dale
BuildiRlt Official
$
$
$
$
$
S
S
$
$
ThIS is 10 certify that the rrquesl in Ihr above applicalion and accOmpanyinB documents is in accordance with the City ZooinB Ordinancr and may proceed as rrqucstcd. This document
wllt:n siBncd by the City Plannrr constitulcS a tempor;uy Certificate of Zoning compliancr and aUows construction to comrncncr. Brfore occupancy, a ClTliflCatc of Occupancy must be
wurd
Planning Director
Date Special CoaditiOlll, if my
24 hour notice for an inspections (~2) 447-9850. fax (~2) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372