HomeMy WebLinkAboutBuilding Permit 07-0589
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0213YI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec' d
(~~M~_OpH_)
I ADDRESS
. 7 tJG uooJv,'euJ
L WIlite Fil.
2. Pink City
3 Yellow Applic:enl
I PERMIT NO.
. t>?..~
c+
J
ZONING (office IIR)
(2.-
LEGAL DESCRIPTION (office use only)
LOT 'L-BLOCKL-- ADDITION~O~ R
~
PID
-~.o
I ~= WelL; f1
. (Address)
Kle.is+
(phone) qfi;2- WO-.-3t: ~,
=:-Namel.f" IIv"ar/ ~'J{chlL(-hb/J
(Contact Name) tll' (~
(Address)5~'I1 /Jiemor/a/ /fr. /Y. 7~ 'tJJttAr
(phone) uG/'/f.:7;9..y: 3X)
(phone)
/ 5-5C. 8' .;L
TYPE OF WORK O\New Construction
OAddition OAlteration
OLower Level Finish 0 Fireplace
CODE: OI.R.C. ol.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
n WIVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST IV ALUE $ f=)15~CJ, 00
(excluding land)
I hereby certil)o that I have furnished information on this application which is to the best of my know1edse true and COITeCl. ) also certil)o that) am the owner or authonz<'Cl agent for the
above-mentioned property and that aU construction will conform to aU existinl Slale and local laws and wiD proceed in accordance with submitted plans. ) am aware that the buildinS
offIcial can mloke this permit for just cause. F rthermore, ) hereby asree that the city ofllcial or a desisnee may enter upon the property to perform needed Inspections.
X .;J-() ,.)- F ~~ ~/~ 7- d-- 0 7
Contractor's License No. Date .
Permit Valuation '2 <)00. . Park Support Fee # $
Permit Fee $ ., 4. '1 '\- SAC # S
Plan Check Fee S Water Meter Size 5/8"; I"; $
State Surcharge $ ,. 1..~ Pressure Reducer S
Penalty S SewerlWater Connection Fee # S
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee S Builder's Deposit $
Sewer & Water Permit Fee $ Other S
$ TOTAL DUE S ., 6_ -
ed I Paid ir~-!o, I ReceiPt No. ,;;- M i I
Date By (l.-I) (.1-
nus is to certil)o that the request in the above application and accompanyinS documents is in accordance with the City ZoninS Ordinance and may proceed as requested. This document
when sisned by the City Planner constitutes a temporary Certificate of ZoninS compliallCl: and allows construction to commence. Before occupancy, a C<TtiflCltc of Occupancy must be
issued
Planning Director
Date S . CClIIditions. if any
24 hour notice for alllnspectionl (932) 447-98!iO. fax (932) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372