HomeMy WebLinkAboutBuilding Permit 09-0385
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i'o. '7. 07
I PERMIT NO. Or. 03B5f
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
//13
Cvw CIa (,-t.:. Jh~~.J PrI'C'(" i-(iJ<-~
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Date Rec' d
ZONING (office use)
OWNER
(N ame)
(Phone)
(Address)
(Phone)
(Phone)
/&,"?;- 7RO.. Co ~ ~~2
.
-
c-
(Address)
ORe-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition DAlteration DUtility Connection
CODE: OI.R.C. OI.B.C. 'rA Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
7f:I rI K- e6 nO v' FrL--
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of illlthonzed agent for the
above-mentIOned property 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 buildmg
otlicial can evoke thIS .m,lt I(lr J'1t cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform nee,ded mspecllons :l
X I....__~...A/ b-! 7-- Of
Signature Contractor's License No. Date
Park Support Fee
SAC
#
#
Permit Valuation ;L~. <IV
Permit Fee $ )
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
BulidJlH! Ofticial
Date
ThIS IS to cerllly that the request in the above applicatHlO and accompanymg documents is m accordance with the City Zoning Ordinance and may proeeed as requested TIllS document
when signed by the CIty Planner constitutes a temporary Certificate of Zonmg complianee and allows construction to commence. Before occupancy, a Certlticate of Occupaney must be
isslIed
Speeial 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