HomeMy WebLinkAboutBuilding Permit 09-0138
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4.{(o1
White
Pink
Yellow
I PERMIT NO. 0 1 0/)/ I
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
LH;OA
v
PtoU
(Phone) (01). 308 3 g 1 ~
\.-'--
(Address)
/1
(
(i:) ":f-~.)J Lts s -~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
BlIildl1l~ Otlieial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ / <e . (;?J
ThiS IS to certify that the request In the above applicatIOn and accompanYing documents IS 10 accordance with the City Zlming Ordinance and may proceed as requested. TillS document
when signed by the City Planner mnstltutes a temporary Certificate of Zon1Og mmpliance and allows constructIon to commence. Before occupancy, a Cerllflcatc of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372