HomeMy WebLinkAboutBuilding Permit 07-0460 & 07-0932
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s - 1 h 00 CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
\ 'l2 50
n' 20 j,{
Ir
/J...IOlq
Date Rec' d
I White
Pink
Yellow
File
Cjty
Applicant
I PERMIT NO. OZ 0932.../
JF
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
q{2 - l.fl{O ,- tJ'Il J
OWNER
(Name)
QdD
1115 ~
S j' M be r ~
HD .") '2 c '" T r Sf
(Address)
(Phone)
BUILDER
(Company Name)
{O~d 1-rN.-h'ujl..
6Ji - l/1"1-V12tJ
. /;v l 41N-YJ jut-' cI
(Contact Name) t::It ~
5 b Lit ~Vl"- ( Aw.-
(Phone)
(Phone)
(Address)
//;. th'//WAkr J50f 2.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIon
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
Re-Siding OLower Level FinIsh 0 Fireplace
o Mise.
A
R
5
B
S
U
PROJECT COST /V ALUE $
(excluding land)
q I i 00 -
I hereby certity that I have hlrmshed mformatlon on this applicatIOn which IS to the hest of my knowledge true and correct. I also certify that! am the OWIll'! or autlwllzed agent te,r the
ilbove-mentlOned property and thilt all constluctlon will conte,rm to all eXlst1l1g state andloca! laws and will proceed in accordance with submitted plans I am aware that the build1l1g
~""" "" "'",C, "" e'm'" f,,, ",n ,,"n '""':P ,g'"' .,,,, "" ", ,," om"2 ~ ~"g"; .~ ;"~' ..,"" ", ""'e"" ,,, "'"",. """, .'r;;:i? _ tJ 7
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
Plumbing Permit Fee $
MechanIcal Permit Fee I $
Sewer & Water Permit Fee 1 $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Budding UIticlal
Date
Park Support Fee
#
#
$
$
$
$
SAC
I WaterMeter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This" to certify that the request 111 the above applrcJtHln and accompanY1l1g documents is 111 accordance With the City Zoning Ordinance Jnd may pmceed as requestc,1 TIllS document
when signed hy the City Planner constitutes a temporalY Certltlcate of Zonl11g compliance and allows constructHln to commence. Befure occupancy, a Certlticate of Occupancy must be
Issued
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspectiolls (952) 447-9850, fax (952) 447-.n45
4646 Dakota Street Prior Lake, MN 55372
f~ - fu.ca
dJO;)q
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE, '
AND UTILITY CONNECTION PERMIT
~~;;~~~:Y\ -\\
Date Rec' d
I, WIIite File
2, Pink City
J Yellow Applicolll
I PERMIT NO. ()" - 4(00
I I W~~t--) I
LEGAL DESCRIPTION (office use only)
LOT 't BLOCK ADDITION t..Uo
fl-.. ({)-e.,s.
(Phone) gS),,~~O '8YLS
I ~= tNty
(Address)
7)1 rrlX-tc}
'\
L..~ Af}O.
PID Z)" - L.,\~ - ~s '- --0
~':Name) iJO IiVkar/ !.'l>UlnLlnO/J
(Contact Name) tlJ t~
(Address)5&'1/ /J)~m()r/a..1 /fr. /f 7~ IJ..Jet/a"
(phone) uG/'~~9..y3XJ
(phone)
.N 5-5()8'.9-
TYPE OF WORK O\New CODS~,o_n ODed: OPorch .Roofing ORe.Siding
OAddition ~eration OUtilily Connection 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of Constnu:tion:
Occupancy Group:
Division:
I
A B E
n
F
I
mIVVAB
HIM R S U
2 3 4 5
OLower Level Finish
o Fireplace
PROJECT COST/V ALUE
(excluding land)
$SJCJ~.9rJ
I Mreby certify that I ha"" fumisMd information on this application which is to the best of my knowled8e true and comcl. I also certify that I am the owner ur authorized all"nt for the
above.rnenb and that all c clion will conform to all existina state and Jocallaws and will proceed in accordance with submilled plans. I am aware that the buildinS
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Signature Contractor's License No. D-J;
Permit Valuation "Z.)O~. .
Permit Fee $ "'14 .1~
Plan Check Fee $
State Surcharge $ 1.'2..{"
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Pennit Fee $
Gas Fireplace Permit Fee $
-Y~--:7;:r;
Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE S ,,,. -
1jj~1
I :;ceiPt No. %7t~i
I Paid
Date
nus is to certify that the request in the above application and accompanying documents is in accordance with the City ZoninS Ordinance and may proceed as requested, Tbi5 document
when signl-d by the City Planner constitutes a temporazy Certificate of Zonins compliance and aUows construction to commence. Before occupancy, a ClTtiflCate of Occupancy must be
issued
Planning Dim:tor
Date Special Coaditions. if my
24 hour notice for all inspections (~:Z) 447-9850, fax (~2) 4474245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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