HomeMy WebLinkAboutBuilding Permit 09-0132
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE.
AND UTILITY CONNECTION PERMIT
Date Rec'd
4,7.07
(Please tne 01" print _d sip at bottom)
I ADDRESS
lL/ bioi -(Ff+t--trs 1YA'11
~.::~ Eiica.. I PERMIT NO. () q. 0 /32-\
I I ZONING <---I
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDITION
(Phone) '1 'S l.. -" l1l17 - 10 2-2.. 7
OWNER ~ ,--- +H..J.
(Name) a r , I u~
(Address)
t{"; I
(phone) laS-(-G~& -lXO&
(phone) l~~ (-L{7 () - ~O ~:x.
. t--l S.-s- ~ (;,
TYPE OF WORK 0 New Coostruction ODedc OPorch .Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: OI.R.C. OI.B.C.
Type of Coostr:uction: I
Oc:aapaacy Group: A B E
DiYision:
n WIVVAB
F HI MRSU
1 :z 3 4 5
PROJECT COST /V ALUE S Co l-(iD ,fJD
(exdudiDlland)
I hereby certify that I haw fumisbcd informati01l 011 this app1ic:atioo which is to the best of my lmow1ed&e we and comet. I also certify \bat I am the owner or authorized apt for the
above-men U eonstrUCtion will conform to aU existin& stale and local laws and will proceed in accordance with submitted plans. I am aware that the buildinll
official i-evoke tb' UK. Furtbmnore. I hereby qJee that the city oftlciaI7::?~Y '9wr to perform needed ~ 'l
ignal\IIe _ ContraCtOr's License No. ~ a~
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 Buildial Permit When AppI'OYed
Building Official
Date
Park Support Fee # $
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer $
Sewer/Water Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other $
TOTAL DUE S
1lus IS to certify that the teqUest in the abow application and accompanyinll documents is in acc:onIance wilh the City Zooinll Ordinance and may proceed as reqUl'Sted. This document
when sipJcd by the City Planner constitutes a temporary Certificate of Zoning compliance and allows eonstrUctioo to commence liefOft' occupant:)'. a Certificate of Occupancy must be
issued
PI8Imina DiIectcr
Date Special ec.ditions. if my
24 hour ROtite for all inspections (951) 447-98!iO. fax (951) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372