HomeMy WebLinkAboutBuilding Permit 07-0891
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Woo d V\' l\oJ
LOlAvt-
Date Rec' d
r;. /5.07
I. While File I PERMIT NO
2. Pink City .
l Y 0110" Appl;c.n1 .
07.089/
I WNlNGC"","_1 j
LOT
BLOCK
LEGAL DESCRIP110N (office use only)
ADDITION
PID
OWNER
(Name)
(Phone)
QS1-l(l{lr(01r/1
(Address)
{)C\,,;~ t
1l2Qlo
f'v\~,^vp., SLk..b.f\A.VHk.
WOOdv,'lv-t (o"'-v~
BUll..DER
(Company Name)
(Contact Name)
(Address) 567 {I'!
(phone) u(/Y::j9. "I'.3.,){)
(Phone)
.# 6-SL1? t.iL-
TYPE OF WORK Do New Construction ODed: OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc,
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
IT
F
1
m IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE S
(excluding land)
S,l"o
J h=by cali/)' that J havt fumislJt,d information on this application which is to tht best of my Imowtedgt trut and correct, J also cmi/)' that J am th~ own.... or authoriz.'d agent ror the
abovt.mentJoncd JlI'OPtny and that aU construction will conform to aU existinc state and local laW! and wiU proceed in accordance with submilttd plans, J am aware that the buiJdin,
official can ,,"oke this permit for just cause. Furth<mlOTC, J hereby asr<e that tht city official or a designee may tIlt<< upon the propnty to ~rm needed inspections.
X ~l{ l' J) ~ ;;J-O r:J F c?-t( i' ? 11-10 .- 0 1
Signature Contractor's License No. Dab:
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee $
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Your BuildlnS Permit When Apprond
Building Ollicinl
Dale
Park Support Fee # $
SAC # $
Water Meter SizeS/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE $
ThIS is to certify lhat the request in the above application and accompanying documenlS is in accordanet with the City Zonin, Ordinanct and may proceed as requested. This document
when .i,ned by the City Planner constitutes a temporary Cmlllcate or Zoning complian~ and aUows con'lrUction to commen~. Before occupancy, a Certificate or Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notict for alllnspcclions (9!12) 447-98~, fax (9!l2) 447424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372
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