HomeMy WebLinkAboutBuilding Permit 09-0107
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ ~ @ ~ u "'~:i,-~ r-~
uate Rec I I
MAR 1 9 10Uj Th
White
Pink
Yellow
File
City
Applicant
By
PERMIT NO.
PflbRcFfltJf Mf3?t DO yV
/708/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
PAT FRIEDGES CONSTR
BUILDER 612 490 8 .
(Company Name)_ - - 698
(Contact Name) 21731 BENTLEY CIRCLE
- JORDAN, MINNESOTA 55352
(Phone)
(Phone)
(Address)
ORe-Siding
OLower Level Finish
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration o Utility Conn
e-Roofing
tlon
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certity that I have furnished mfiJrmatlon on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authollzed agent for the
above-mentioned property and that all on ruc will c form to all exist10g state and loeallaws and will proceed in accordance with submitted plans I am aware that the buildmg
omeial can revoke thiS permll for Just 'rther e, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspecllons
x
Contractor's License No.
Permit Valuation
Park Support Fee
Permit Fee
$
$
$
$
$
$
$
$
SAC
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
Bllildlll~ Ufticlal
[)at~
-d
#
#
#
#
Date
$
$
$
$
$
$
$
$
$
ThiS IS to eertlfy that the request 10 the above applicawln and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner eonslltutes a temporary Certificate of Zonmg compliance and allows construcllon to eommence Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372