HomeMy WebLinkAboutBuilding Permit 09-0417
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
SE
Date Rec' d
to, 2.:~. 07
I White
Pink
Yellow
I PERMIT NO. 09. 04-/71
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~'::e~R Gy~ h aY"Y\ ~oL11 q /l
(Address) 4-330 ~ t-O-t-o. ~. ~t
(Phone) q 5 ~ cra~ - dO d I
I BUILDER 0 0 :...h I
(CompanyName)rfi pet-oy CJQ\mSo\u-t\CJYl5
I (Contact Name) -p.\ C n (\ DVQ ~
(Address) 4<.o~~ \ CO \ 5 d Eo..
(Phone) &;51 qqA -a.O;JC)
(Phone) c:'D \ qqA dOJ-g
AJ SS I d-d
TYPE OF WORK 0 New Construction
OAddition OAlteration
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
o Misc.
B
S U
$ eDOO
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have htrnished mformation on this application which is to the best of my knowledge true and correct. I alsu certify that I am the owner or authOrIzed agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submllted plans I am aware that the buildmg
~ncial can evoke this permll for Just ca~ Furthermore, I hereby agree that the CIty (~r ~sgee..;; ;n~pe;he property to perfor~eid/m~e/~ Cj
ignature 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
Buildn!!! Ufticial
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 m the above applicatIon and accompanymg 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 construction to commence. Before occupancy, a CertIficate of Occupancy must be
isslIed
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