HomeMy WebLinkAboutBuilding Permit 09-0207
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CITY OF PRIOR LAKE BUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
IS~S\.-(
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\) \ V'I T \l..e{ S't
White
Pink
Yellow
File
City
Applicant
PERMIT NO. ()
D~t!;! Q!;!{!' rl
~. /.07
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER~ ( .
(Name) t.e+{.
'?A \ .p
(Address)
(Phone)
CJs2 -vlt7-t")uj
(Phone) 7~'2 - J~ ~ J I 3 I
(Phone)
;..--
/~~
D<4 v~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAdditlOn DAlteration o Utility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
OLower Level Finish 0 Fireplace
B
S U
PROJECT COST /V ALUE $
(excluding land)
x
I hereby certil)j that have fllrmshed mf,)rmation 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-mentIOn d operty and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
otlicial can r e this permit for Just cause F rmore, I hereby agree that the cuy official or a deSIgnee may enter upon the property to perform needed mspectlons
1:
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Ol1icial
Date
Contractor's License No.
Park Support Fee
SAC
#
#
~-V) cJ5
Date
$
$
$
$
$
$
$
$
$
Planning Director
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
-
ThiS IS to certIfy that the request m the above applIcation and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg complIance and allows constructIOn to commence. Before occupancy, a Certlticate of Occupancy must be
isslled
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any