HomeMy WebLinkAboutBuilding Permit 09-0225
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CITY OF PRIOR LAKE BUILDING PERMIT, ~ S51?
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
f\ - 7/p. co AND UTILITY CONNECTION PERMIT
1/~31
l"u IL-OEeNE:S~ 'TRf
Date Rec' d
1 White
Pink
Yel!m\
I PERMIT NO.
09:(j?~
File
City
Applicant
ZONING (office use)
Sf-
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER (J
(Name) F'l0Cf(
+< b -zACEK
(Address)
(Phone) qs ~-44D -l'-it€
BUILDER . . \ r
(Company Name)\1Jc:?An+6e..GU~o Lt>()Sm-UCilDn
~l~o.{ e ()
M EKDe.i AL ftv0 ~. Stll wet-lei \'Y1 n g)tf6J-
(Contact Name)
(Address) c::::
(Phone) 11i51-4 ?fl- ~ 3Z-D
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch .e'1Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility ConnectIon
CODE: DI.R.C. DI.B.c. o Mise. --,",._-~~~
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $ Q4/S, cLJ
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5 3" (g(.;, SQ
I hereby certify that I have tUfmshcd mformation nn this applicatlon which 15 to the best of my knowledge true and correct. I <llsu certify that I am the owner or iluthorIzed agent for the
abnve-mentlllned property and that all ennstructllln wlll Cllnt(JIm tn all eXisting state and local laws and will proceed In accordance with submltteu plans I am aware that the building
~fr~?y\ke~t1ll~t~~~::I hereby agree that the cay nfflcialor 'as~n~ "i;~ P:0the propeny tn pertlJIm necdl~;sT;n/ 09
Signature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
;
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
I Gas Fireplace PermIt Fee $ I
I
This Application Becomes Your Building Permit When Approved
Iluildlllg Ufllclal
Date
Park Support Fee
SAC
#
#
Water Meter Size5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
-
ThiS IS to certify that the request II1 the above application and accompanYll1g documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThIS dtlcument
when signed by the CIty Planner constItutes a temporal)' Certifi.cate uf Zomng complIance and allows construction to commence Before occupancy, a Certlfi.cate llf Occupancy must be
issued
Planning Director
Speeial Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372