HomeMy WebLinkAboutBuilding Permit 09-0391 - re-roof
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~./~{)9
S9~
Date Rec' d
I. White file
2. Pink City
3. Yellow Applicant
I PERMIT NO. 09 03)7/1
I ZONlNG'_=l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) \\ '<Y\ ~~ ~"'N
t\oc ~'0
(phone) -Rf57) ~~- ~\~\
Bun.DER ~
(Company Name) . ~\:~-rl ~ U~r\\'(o.c.\-\,^C1 CD~~)
(Contact Name) ~~p 'w
(Address) S\
(phone) (qc::, 1) '1-'1 (.c -~ I 7 ()
(phone)
:=r
TYPE OF WORK 0 New Construction ODed OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of CoDStmction:
Occupancy Gronp: A B
Division:
I
E
n
F
1
IDlY
H I
2 3
V A B
M R S U
4 5
o Mise:
PROJECT COST/VALUE $~
(excluding land)
on on this application which is to the best of my knowledge lIUe and OOITect I also certifY that I am the owner or authorized agent for the
and that all struction will oonfurm to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the building
use. Furtherm hereby agree that the city officiaJ or a designee may enter upon the property to perform needed inspeaions.
Jnlf6lrP\
ate
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
~echanicalPenTritFee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes YOW' Building Permit When Approved
Building Official
Date
20(~L 1,9'1
Contractor's License No.
Park Support Fee # $
SAC # $
Water ~eter Size 5/8"; }"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
This is to certifY that the request in the above application and accompanying 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 Zoning oompIiance and allows consttuction to oommence. Befure occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372