HomeMy WebLinkAboutBuilding Permit 07-0754
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
LOCK ~ ADDITION
Date Rec' d
I. Whil. Fil. I PERMIT NO
Z Pink Ci.y . 07 - 1'74-
J Yellow ^pplica.. .
ZONING (olli""_l
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LOT
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PID Z <) - 2'14 -001 -0
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OWNE~) 'J
(Name) ILVI cf t
,) i "11\ D ", ~~ '^-
(Phone) (if 5'2 ) t;t.j fJ.-lf2 t/f
ILR lIlt
(Address)
BUll.DER
(Company Name)
(Contact Name) df (/
(Address)5&lfl IJ unpr/a/ ;4.- /y.
(phone) CtG./.Y?J9. "(3.,)-/)
(Phone)
/7J~ 6-5()8~
TYPE OF WORK DNew ConstnJ.cti9J1 DDeclc o Porch e-Rooling ORe-Siding OLower Level Finish
/ OAddition !Y'Jteration OUtility Connection 0 Misc.
CODE: 0I.R.C. OI.D.C. PROJECTCOST/VALUE $
Type of Construction: I n ill IV V A B (excluding land)
Occupancy Group: A 8 E F HIM R S U
Division: 1 2 3 4 5
o Fireplace
~.1bO--
/
I h=by certify that [ hav~ furnished information on this application which is to the besl of my Imowledg~ true and correct. I also =tify that [ am the owner or authoriu:d agent for the
above-mentlOncl ~rty and that aU construction will conf'orm 10 aU existing state and local law. and will proceed in accordance with submined plans. [am aware th.1t the building
:lIidal can re~;::hi' per~V~~ cause. Furthcrmo~. I hereby agree thaI the ci~ ;~~or ; ;;;:;/ en'er upon the property to perform need~ ifg7~' 7
Signature Contractor's License No. Date
Permit Valuation L.'5oD. -
Pennit Fee $ "14.{--
Plan Check Fee $
State Surcharge S .L
Penalty S
Plumbing Permit Fee S
Mechanical Pennit Fee S
Sewer & Water Penn it Fee $
Gas Fireplace Permit Fee $
Parle Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other S
TOTAL DUE $ [&:/- -
,
I Paid
Date
7(P-i /
8 (O/i)'1
,
t?-4QB
Receipt No.
By
ThIS is to certify thalthe request in Ihe above application and accompanying docum~nts is in accordance with the City Zoning Ordinanc~ and may proceed as requl.,tcd. This document
when signed by the City Planner constitutcs a temporary Certificate of Zoning complian"" and aUows construction to commenct. Before occupancy, a Certificate nfOccupancy must be
issued I
Planning Director
Date Sr>ecial Conditions, if any
24 hour notice for allln.peetions (9~2l <<7-98~, fax (~2) <<7-424~
16200 Eagle Creek Avenue Prior Lake. MN 55372