HomeMy WebLinkAboutBuilding Permit 09-0490
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I~ ~ @D~te~~'~ m
w JUL 082009 ~
1. White File
2. Pink City
3. Yellow Applicant
By
PERMIT NO.
ZONING (office use)
'j} 'L
V V ; or L.LLK.L
^^~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNE
(Name)
VlJJ\l GIL~T
Tra:J ~~_
(phone)
j/~'1 br la.h _ M/'J
~5'L- 441 -4-x~"2
~~312
(Address) i
BUILDER
(Company Name)~ LlL to ~ SIYLW:'.X 10 N.
(Contact Name) ~V ~ LuaJ Sh.
(Address)q556 _Jo.V\\D ~ Av~ S;. S-L. 11.&
(phone) Cl~'l ~~~ 12.eo
(phone) l1~rl <l&~ ILDO
1~lbOW\il'\.~V\. L1tJ. 5~4-3)
TYPE OF WORK 0 New Construction ODeck DPorch -Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
TypeofCorurtnKUon: I
Occupancy Group: A B E
Division:
o Misc:
n IIIIVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST/VALUE $ lID ~2,'1. 106
(excluding land)
I hereby certifY that I have fumished information on thls 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-mentioned properly and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke thi, ~t for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X K.. \AJaJci\ '101 ~4402 II fol7.cn~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
SmreSureharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 $ 7(, .....
es YOill' BuDding Pe
c,
I Paid
Date
I ~;ceiP~53 I } '_
Approved
This is to certifY that the request in the above applicatiou 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 compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for an IDSpectloDs (952) 447-9850, fas: (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372