HomeMy WebLinkAboutBuilding Permit 09-0337
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CITY OF YRIOR LAKE RUILDING YKiMl1.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
PERMIT NO. 0 1. 033
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
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ADDITION
PID
BLOCK
OWNER C tl I L: '.'.'. .' 0_..~ +=0 I I II .1') y-
(Name) u,-OTT- €; G (: \ In \~. y . vv "-
(Address) l fQq'd l,u~ \df.. n,(S--S 'T~' S < E .
(Phone)
q S 'd 44 -,
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~C~~~~:Name) BOoc14\.f C,\c\\f\\ So\u \\ 0'(\ S
(Contact Name) /~J \ C ,-,
(Address) 4<e C;Jt:~ f) \ C (1 \ ~ 'P.6 A.,\ )J
(Phone) C:,S \ g q 4 c-:)c.~ ~
(Phone)
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TYPE OF WORK 0 New Construction DDeck DPorch 'i6Re-Roofing DRe,Siding DLower Level Fimsh 0 Fireplace
o Additlon DAlteration DUtiJity ConneGi!;n
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III
H
2
IV
I
3
V
M
4
A
R
5
I
E
II
F
I
o Mise.
B
S U
$~OO
PROJECT COST IV ALUE
(excluding land)
I hereby certity that I have turnlshed mformatlOn on this apphcatlOn which IS to the best of my knowledge true and COlTec!. I also certifY that I am the owner or authOrized agent for the
above, mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed 10 accordance with submitted plans. I am aware that the buildmg
oIlicial can revoke thIS permit for Just cause Furthermore. I hereby agree that the City official or a designee may enter upon the property to perform needed mspectIons
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S' ature 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
Buildltl!! Otliclal
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 $
ThiS IS to certifY that the request 10 the above applicatIOn and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested Tlus document
when signed by the CIty Planner conSl1tutes a temporary Certiticate of Zonmg comphance and allows constructIon to commence. Before occupancy. a Certlticate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372