HomeMy WebLinkAboutBuilding Permit 09-0329
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t.,.5":()/
File
City
Applicant
I PERMIT NO'Oq. 032-; I
I White
Pink
Yellow
ADDRESS
Ilo9'7
S,6
W,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
(Phone) l}SL' WD .SCj81--
(Address)
TYPE OF WORK 0 New Construction ODeck o Porch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Conne 10
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
B
S U
IV
I
3
V
M
4
A
R
5
I
E
II
F
I
III
H
2
PROJECT COST /V ALUE
(excluding land)
$ J7DLZ.).~
ave furOlshed mformatllln m this applicatllln IS to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent feJr the
roperry and that all constructi Will conform t all eX stmg state and local laws and will proceed in accordance with submlltcd plans. I am aware that the buildmg
p mit for Just cause Furth 'morc, I hereb agree t at the Clry official or a designee may enter upon the propel1y to perform needed mspecllons
2.rJ.J ~~4 lP' ~ ,61_
Contractor's License No. Date
x
Park Support Fee
SAC
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
13l1i1dln~ Ufficlal
Date
#
#
$
$
$
$
$
$
$
$
$
1ft? 00
#
#
ThIS lS 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 Zonmg compliance and allows construcllon to commence Before occupancy, a CertIficate ()f Occupancy must be
isslIed
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372