HomeMy WebLinkAboutBuilding Permit 09-0317
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
B i R. CNV,) 0, D i-::>
A IT'
'\J r::... .'
Date Rec' d
u . J_ 0 i
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 09. 03/7 ,
N EJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
AAKR
(Phone)
962- l-/9 (. - /{l19
OWNER
(Name)
I<RIS71AJ E-
S ,-,75
A\l E~
(Address)
r3iK-crlwoc)O
!\J,E---.
BUTLDER ~
(Company Name) l'IIITJltj,-"' 1:. peE. 7T'/!11/fJvf
(Contact Name) M4-lT rL:?t-7TYt1J/IAJ
(Address) 'i 35, 2D {)-tt.- ")1, E. 'R IOK: LA-
(Phone)
(Phone)
152- &,Dl-'?s72-(J
?~ -2-- l- 0 7 - 67 2. 0
ArIA) .
{;' ~ 3 7 L
TYPE OF WORK 0 New Construction DDeck DPorch (iRe-Roofing ~Re-Siding DLower Level FinIsh 0 Fireplace
DAddition DAlteration o Utility ConnectIOn
CODE: DI.R.C. DI.B.c. o Mise.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
x
I hereby certifY that I have furmshed mfiJrmation on this applicatlOn whICh IS to the best of my knowledge true and correct I also certIfY that I am the owner ()!" authorIzed agent for the
abnve-mentlOned pr perty and that all constructlOn wIll conform to all existIng state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
onicial can 'v IS pe t ~ r Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed InspectIOns
712C''-'"3 13 I '1
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 Application Becomes Your Building Permit When Approved
Buildlll!! OfIicial
Date
t-, -3 -c rl
Contractor's License No, Date
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 $
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. TIllS document
when signed by the City Planner constitutes a temporary Certificate of ZonIng complIance and allows ClJnstructlOn to commence Before occupancy, a Certificate of Occupancy must be
issued
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