HomeMy WebLinkAboutBuilding Permit 09-0099
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CITY OF PRIOR LAKE BUILDING PERMIT, U ~ @ ~ ~m \i
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT MAR 1 9 2009
I White
Pink
Yellow
File
City
Applicant
PERM
fJ#e/ls/l/v'/ ,M(3q-oo
ZONING (omce use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
PAT FRIEDGES CONSTR.
612-490-8698
21731 BENTLEY CIRCLE
JORDAN, MINNESOTA 55352
BUILDER
(Company NameL
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connec IOn
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
III
H
2
IV
I
3
V
M
4
A
R
5
I
E
II
F
I
x
o Misc.
B
S
U
PROJECT COST /V ALUE
(exduding land)
$
1 hereby certifY that 1 have hlrmshed mt,,,. tion 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 tllr the
above-mentlOned property and that all c str IctlO ill conform to all eXlStmg state and local laws and will proceed in accordance with submItted plans 1 am aware that the buildmg
official can revoke thIS permll for Just ca e ermore .eby agree that the City official or a deSignee may enter upon the property to perform needed mspectlOns
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
Buildllll! Omcial
Date
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$
By
d
ThIS IS to certlfY that the request In the above applicatlon and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner CllnStltutes a temporary Certificate of Zonmg compliancc and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Director
Special Conditions, if any
Date
24 hour uotice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372