HomeMy WebLinkAboutBuilding Permit 09-0094
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please e or rint and si n at bottom)
ADDRESi7 050/;7 oS 4-
(JH6/JSflNI ;v?t;?tOO tAl
~ ~ @ ~ ~a~~~'
MAR 1 9 2009 ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER PAT FRIEDGES CONSTR.
(Company Name)_ 612-490-8698
21731 BENTLEY CIRCLE
JORDAN, MINNESOTA 55352
(Phone)
(Phone)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction ODeck o Porch ~e-Roofing
OAddiuon o Alteration o Utility Connect~l1
o Misc.
ORe-Siding OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
v
A
R
5
B
S
III IV
H I
2 3
V
M
4
I
E
II
F
I
PROJECT COST/VALVE $
(excluding land)
A
B
I hereby certitY that 1 have hlrnlshed mt(lrmation on this applicatIOn which IS to the best of my knowledge true and cOITect. I also certltY that 1 am the owner or authollzed agent for the
above-mentIOned properry and that all ccmstruction will conform to all eXlstmg state and local laws and will proceed in accordance with submllted plans 1 am aware that the buildmg
official can revoke thIS permit for cause her. ,I hereby agree that the C1ry official or a deSignee may enter upon the property to pert()rm needed mspecl10ns
x
Park Support Fee
SAC
#
#
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
I $
$
Builder's Deposit
Other
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
This Application Becomes Your Building Permit When Approved
Buildlll!! Official
Date
By
Date
$
$
$
$
$
$
$
$
$
ThIS IS to certify that the request in the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner consulutes a temporary Certlticate of Zonmg compltance and allows construction to commence. Before occupancy, a Ceruticate of Occupancy must be
issued
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