HomeMy WebLinkAboutBuilding Permit 07-0690
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
----~-:::-:
1305i Vi . ~ C'u::-de J NW
Date Rec' d
I. While File
2. Pink City
J YoIlo.. Applice..
I PERMIT NO. 07. 00701
I I ZONING ,--) I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNEk
{Name)-J om
(Address)
(Yb0ch~ 5~Q. vI+---
BUILDER
(Company Name)
(Contact Name)
(Address) 6&'1/
TYPE OF WORK DNew Construction
DAddition DAlteration
. CODE: OI.R.C. OI.B.C.
Type of CODStrw:tion: I
OcaJpancy Group: A B E
Division:
IT mlVVAB
F HI MRSU
1 2 3 4 5
(phone) QSa- 447.4440
(phone) u~/t//'.~9. 'Y3.J.()
.
(phone)
177/ 5~S-~8~
.Roofing ORe-SidiDg OLower Level Finish 0 Fireplace
on 0 Misc.
PROJECT COST/VALUE S 1,5 ~ 0 . 00
(excluding land)
I hereby certify that I have furnished information on this application which is to lhc best of my knowledge lrUe and comet. I also certify that I am the own~'I' or authorized agent for the
above-menboned property and that aU conslrUction will conform to aU existina stale and local laws and will procmI in accordallCl: with submitted plans. I am aWlle that the buildin,
official can ~c this permit . st cause. PUrthermore, I hereby alll'CC that the city official or a designee may enter upon the property to perform needed inspections.
X ~ . ~rJY#%'? 11ri.7107
Contractor's License No. t Da~
Permit Valuation
Pennit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your BulldlnJ Permit When Approyed
Building Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE S
nlls is to certify that the request in the above application and accompanying documents is in accordanc:e with the City Zoning Ordinance and may proceed as requcstcd. This document
when signed by the City Planner constitutes a temporary Ccrtillcate of Zoning compliance and allows conslrUction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning DUector
Date Special CoaditiOlll, if any
24 hour notice for alllnspcctions (9!l2) 447.98!1O. fax (9!12) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372