HomeMy WebLinkAboutBuilding Permit 09-0503
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .'
AND UTILITY CONNECTION PERMIT
~
1333
Date Rec' d
7t(Pf
7. 1.5. 0:
I PERMIT NO. CYI. o.5D3/
I. While File
2. JIinIl City
) Yellow Appllcolll
AJ~
I ZONING"",,_> I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION.
PID
OWNER ~ ..lL V n
(Name) .--Ule lVC t:-<:t~
(Address)
(phone) 9s;;2 11f7 a.,~
BUll-DER ,
(Company Name) {..L; \(e,l.Vo-A~ 1{~~-E>.Q.I..V"\~
(Contact Name) ~~ 2>. , S*eVe.. H; \\ex-
(Address)", .
TYPE OF WORK o New Construction
DAddition OAlteration
. CODE: OJ.R.C. OI.B..C.
Type of Constroction: I n ill IV V A B
Occupancy Group: A B E F H J M R S U
Division: 1 2 3 4 5
(Phone) tj;;:jUfI' - SS'i; d.
(Phone) "I 3;).8 - &Sl,.
p\;,) 5$ 'f~o
DLower Level Finish
o Fireplace
&'O::t:> ::s
PROJECT COST /V ALUE S
(excluding land)
mished infortmtion on this application which is 10 the best of my Icnowledge true and COlTCct. I also cenify that I am the owner or authorized agent for the
and that aU construction will conform to aU existing state and 1oca1laws and will proceed in accordance with submitted plans. I am aware that the building
il for just caus ore, I hereby agree that the city official or a dcsianee may enter upon the propeny to perform needed inspections.
a04-430,=, <e 7-r-cY7
Contractor's License No. Da~
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty. $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your BuiIdlnll Pennit When Approved
BuildinlZ Oniciol
Dale
Park Support Fee # $
SAC # $
Water Meter Size S/8"; 1 "; $
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 accompanyina documents is in accordance with the City Zonina Ordinance and may proceed as requcsted. This ducument
when signed by the City Planner constitutcs a temporary Certillcate of Zonine compliance and aUows conslnIClion to commence. Before occupancy, a ClTlifacate of Occupancy must be
issued
Planning Director.
Date SllCCial Conditions. if any
24 hour nolice for all Inspections (9~2) 447.98~O. fax (9~2) 447-424!1
16200 Eagle Creek Avenue Prior Lake, MN 55372