HomeMy WebLinkAboutBuilding Permit 07-0574
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec'd
I ~~;'-i"0~1
~. E.~.. I PERMIT NO. 07. 6 51~ I
?clt"(jr;tv( LW'Je- sJ I ZONING 1__> I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID lC 16r ^) c, c.
A r ~,yt dV(._
I OWNER.
. (Name)
I (Address)
I ,ue~_______ ...
(Phone'
]
......--------.------..-1
Bun.DEIl
(Company Name)
(Contact Name)
(Address)
(phone)
(phone)
TYPE OF WORK 0 New Construction ODed OPorctl e.Roolins ORe-Sidin& OLower Level Finilb
OAddition OAltention OUlility Con 'on 0 Mi.tc.
. CODE: OJ.R.C. OJ.B.C.
Type of Constnu:tioa: J
Occupaacy Group: A B E
DiYiliOJl:
mIVVAB
HI MRSH
Z 3 4 5
PR.OJECT COST IV ALUE S
(euludinJland)
o Fin:pl&ce
Cb c50b
----
1IIi1 application wbich ilto lht ~l 01 my .trow~ trot &IlcI COITtCt. J also mtify tIW J am the 0WIlt!l' t.. authonud qen: for the
n wiJI COIIflInn to aU cxlstina Ie &lid loa I laws aM will ~ in ~ with sulltnllttd pWls. I am aWart tlltl the bulldin.
,I htftby &1= tllat tII oIIiciaI~ <inianet may ~ ~ 10 pttfann needed ~s. --;
dDI7 ~ &~~~-O I
Contractor'. LiceDse No. Date
Permit Valuation Park Support Fee ## S
Permit Fee S SAC ## S
Plan Check Fee S Water Meter Size 518"; I"; S
~ --- ~._-_. .---..-
. !,tt;~ Su~h~6C .. i'reu\Ue Reducer :;
Penalty S Sewer/Water Connection Fee ## $
Plumbing Permit Fee S Water Tower Fee ## $
Mechanical Permit Fee S Builder's Deposit S
Sewer .t. Water Permit Fee S Other S
Gu Fireplace Permit Fee S TOTAL DUE /' S
/1 ; ,
TbiJ Appllation 0-. Your BaillllDa Pmllit WbeII AJIPI'IIft' I Paid IUI - I Reo iDt No. .J. Lf u tf Ie \
I Date '-'1 ') /v 7 I By/
( (
Buildinl! OlTlCial Dale J
TIus IS to tntiIy tlul ~ request in lbe above applirarion &lI4 KCIlI1lpUIyilla 6oc\I/lIC'Illl ia in ~ widllllt City ZoniaJ Ordinlln and may procml u req~. This dUClUlltnl
whtn siptd by lilt City Planntr constitulcs a ~ary CMillalt of Zooin. compliancc and aUow. ronsttuc:1ion to COllll1lellCe. ..foR UCCIIplIlCY, a Ccrtiliale of Ottupancy lllIISt bl'
issued
PIumIna Direcur Dare SJIClCial Condili....lf ay
2-4 bour nolkt ror alllllSptdlo.. (9!l2) 447-98!'iO,ln (9!l1) 447-414!l
16200 Eagle Creek Avenue Prior Lake. MN 55372