HomeMy WebLinkAboutBuilding Permit 09-0262
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S.2 C. cJ!
~. =e ~~~ I PERMIT NO. oq, () zfp Z-I
3. Yellow Applicant
ZONING (office use)
i 7tJicJY LA] I LDf' Q!\JSSS TQk1L S~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNER
(Name)
BRI D..I\J "REJ\] ~ ROEJ
I 70104 WI UJGR.J'JffiS TRJU L (;E-
(phone) q ~2 Lf4 T 2x~b
PRI b R LA ~f:" I\A f\J 55 -;D 72
(Address)
BUILDER ^-M r 1/" ~Q - A. 1 IJ
(Company Name) fA... t L WI\1c;;.1 ULI (Or,.:;. I L
(Contact Name) ~~ RK~ Lu A-L SH
(Address) q6~tj J Arvtf-S IW f. C::J tJ1b 2.2.R
(phone) Q ~:r2. S12~ 120D
(phone) =:A rM f:.
f)L[D(\AtN6-lbN f\;HJ 5CJ431
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
n illIVVAB
F HI MRSU
1 2 3 4 5
o Misc:
PROJECT COST/VALUE $
(excluding land)
I hereby certi1)' that I have fumished information on this application which is to the best of my knowledge true and correct. I also certilY that I am the owner or authorized agent fur the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the building
:ffiI~j~rsz: cause. Furthermore, I hereby awee that the city Offi20 7::eW4U2 the property to perform nee; i;;l20Cf4
Signature Contractor's License No. . D~te
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
Buildinll Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
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. Befure occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions. if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372