HomeMy WebLinkAboutBuilding Permit 09-0298
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
G,./. OJ
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ()f. 02-711
ZONING (office use)
DV\ t\y5 e
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 0
(Name)
v,[\ 1-
5~D\
'ttVltt
r;
(Phone)
440 5L\lty
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration DUtility ConnectIOn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST /V ALUE
(excluding land)
$
I hereby certify that I have furnished mformatlOn on this applicatIOn which IS to the best of my knowledge true and correc! I also certify that I am the owner or authOrized agent for the
above-menl1oned proper and that all ~strucl1on will conform to all existmg state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
;flcial an revoke thIS p r I for Just cause Fir ermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform ntrmms
Contractor's License No. Date
Park Support Fee
SAC
#
#
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
$
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
/{"V~
" _ /_ u
lfNO
Dat_
8uildllH! Official
ThIS IS to certify that the request m the above applicatIOn and accompanymg documents IS 10 accordance with the CIty Zonmg Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows CllnstruC110n to commence. Before occupancy, a Certlticate of Occupancy must be
issued
Special 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