HomeMy WebLinkAboutBuilding Permit 09-0174
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
4-, 2--7. 7
I PERMIT NO. () q, () / 7+ I
ZONING (office use)
'1577
flu.fl1m'Jr} lu;d lnttl A( F , PrllH ~ I 4)/,SS- 37~
LEGAl. DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER '
(Name) En ~ .J- We r) tIy ,< ,n rJ .s-lr 41'1--'
(Address) '1577
hlrd 7Fa.d )/. E.
BUILDER
(Company Name) ffim~.,6UJn R#s""~,j)/IIA0;;nc
(Contact Name) 70dd mJYeA1//
(Address) 30 ,4, n 4an..e t? ""I/~
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition DAlteration DUtility Conne 0
CODE: DI.R.C. DI.B.C.
Type of,Construction:
Occupancy Group: A B
Division:
II
F
1
ill IV V A
HIM R
2 3 4 5
I
E
(Phone) 9sa - ,,/Od.-~37 7
h
14# S-S37~
(Phone) ?6.3-f'?9"-F69:r
(Phone) ?/;z - Pd"f-//P,
'IJ M- ~ V,}p
ORe-Siding OLower Level Finish 0 Fireplace
o Misc:
B
S U
PROJECT COST/VALUE $ /~ S-OO .,
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and th I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o . can revoke thi .t ju cause. Fu ermore hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
4~h3()S31' 7"-;).7-<J9
Contractor's License No. Date
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 $
. s A plication Becomes Your Building Permit When Approved
</ /tl'J
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 $ Pc.. ~
I ~;C~NO. ~77"~
I Paid
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372