HomeMy WebLinkAboutBuilding Permit 09-0282
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5. 2 Y U?
(Please
ADDRESS
White
Pink
Yellow
File
City
Applicant
I PERMIT NO.01. () 2/2-/
at bottom)
~c\e. S e:
ZONING (office use)
\\'N S5~1~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
o~V"
:..~ ta. ~E
B-~D'
(Phone)q5J"~41-4s-<6'
~S5~1~
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility Connection
OLower Level Fimsh 0 Fireplace
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have hlrmshed mfmmatlllO on this applicatIOn which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authorIzed agent for the
above- 0 r er and that all construction will conform to all existmg state and local laws and will proceed m accordance with submltted plans I am aware that the buildmg
~ncia an r oke IS per II for Just cause FlIl thel mOle. I heleby agree that the CltyE ~o, '3 \e~n6he plopelty to pel form ne5:~~~:' Di
Sign Contractor's License No. Date
Permit Fee
$
$
$
$
$
$
$
$
SAC
#
#
Permit Valuation
ThIS IS to eel' fy that the requcst In the above applicatIOn and accompanymg documents is 10 accordance with the City Zoning Ordinance and may procecd as requcsted ThiS document
when signed by the City Planner Cllnstltutes a temporary Certificate of Zonll1g compl1anee and allows constructIOn to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Date
Water Meter Size 5/8"; I";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
s Your Building Permit When Approved
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any