HomeMy WebLinkAboutBuilding Permit 09-0353
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Date Rec' d
CITY OF PRIOR LAKE BillLDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
00-. L f.,- l)v
C' Ie, ('1
1. White File I PERMIT NO
2. Pink City . /jet' . " ~ c: "'7
3. Yellow Applicant , L' '- --- ~
c: ~.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDITION
rO / Z -27 S--'1lf 5 g
OWNER
(Name)
is vv-.Lf/. 'D DJ so ."'\
/:;Z3 ~ ()o.)c:. ^,j9~
C.'r
(Address)
(Phone)
BUll.DER /' / .
(Company Name) CO-.) Lcr ),' of I .... ~ . T'^- c
(Contact Name) ;<, c./c.: 5G ~ '--' c-..
(Address) /50/ C;. C {,ff I'd -#1/7
(phone) C; 52 - 7 <f G, 30 'f 0
(phone) 6/2 - '-f I 'g- ~ g7 cr
tv..rA SV! ILr ,A;J S-5 ~5 7
TYPE OF WORK. 0 New Coustruction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.C.
Type of CoostnJction:
Occupancy Group: A B
Division:
I
E
n
F
1
IDlY
H I
2 3
V A
M R
4 5
'l!14Re-;>iding
{"";~-'^-(
o Fireplace
OLower Level Finish
o Mise:
B
S U
3; Y. 00 00
PROJECT COST /V ALUE S
(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 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
:fficial can revoke . t3M~Ore, I hereby agree that the city official Z ~ ~@l~y ;~u; the property to perform neede~ in/~o;, /a ~
Signature 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 $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildinll. Official
Date
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 $ /Tt." _ ul)
~NO
I Paid if6 t...L./
. Date ~. Ie.- i.,I',
,
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