HomeMy WebLinkAboutBuilding Permit 09-0444
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
110"23
1 {t <S"f.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Date Rec' d
1 White
Pink
J Yellow
File
City
Applicant
I PERMIT NO.q . 444-
ZONING (office use)
OWNER
(Name) /VI. 1(.. M A 'i:. I- ~12.... t S
(Address) I'OL~ WILi>~:J[_:>5 TIl... S-z.
(Phone) '1 ')- 2 - '-I '-Iv - ? 4/ 2-
BUILDER
(Company Name) \ ~ Co.-~. ~'nzv,-'M oJ L-LC:
~ .-,^- ;;:: \~...r+
r
fo~)( L.1"b
ORe-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing
OAddition DAlteration OUtility ConnectIon
CODE: ~.R.C. DI.B.C.
Type of 0 struction: I II III IV V A B
Occupan y Group: A B E F HIM R S U
Division: I 2 3 4 5
CD I\,<~co!dl
(Phone) 0, s- z. - 3 S- '-'._(".2..../ "'i; ( tt)
(Phone) q 5 2. - o.lPtf;l. 4'1 / - <-110 /
S.~v"'b'i ,t..tv ~~ '-1~
o Misc.
PROJECT COST IV ALUE $ I L, 000
(excluding land)
I hereby certify that I have furmshed Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of authorIzed agent for the
above-mentIOned property and that aU construction wiU conform to aU existing state and local laws and will proceed in accordance with submItted plans. I am aware that the building
official can revoke thIS permIt for Just cause Furthcrmore, I hereby agree that the CIty official or a deSignee may enter upon the propelty to pert(Jrm needed inspectIons
X \ =i" ~ ~..;- I 2-t;;{p2- 1(;7 5---1 {...~..., fi, q
~ Signature Contractor's License No. f Date
Permit Valuation ,..
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee \ $
This
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ -Ib- ---
~/z7f7
I ~;ceiPt NR.Jt 2:-1l/
Paid
Date
ThIS IS to certIfy that the request in the abuve apphcatlon and accompanymg ducuments IS m accordance with the City Zuning Ordinance and may proceed as requested. ThIS document
when signed by the CIty Planner constItutes a temporary Certificate of Zonmg compliance and allows constructlun to commence. Before uccupancy, a Certlticate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372