HomeMy WebLinkAboutBuilding 09-0435 (Egress Window)
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t. U ;01
'-f If CO l
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I White
Pink
:I Yellow
File
Cily
Applicant
I PERMIT NO. 09. 04351
ZONING (office use)
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OWNER
(Name)
f3~+--3
(Phone)
?S'2-4t1 O-IS-7t;("
".-0 rY\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
P~J.<J Sc41N~"'-" CPV1.S1Yt.-c..{./""
{3v"l..<..-c- s,lz. '-'-~ L """'-
2- , -e..V"\.. r, 'c k.
ORe-Siding OLower Level Finish 0 Fireplace
.J:y;:.. (Phone)
(Phone)
?-<..n-c.. v ,oIl "'-
f 5 z. C! (;., .j 2... ~ "'L.
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5S 0 C{
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TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition ~lteration o Utility Connectlon
c. ,jY "Ie':' ~
~,..",d(J~
I CO f) 0 D.I)
I
CODE: DI.R.C. DI.B.C. o Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have lmnished informatIOn on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authouzed agent for the
above-mentlOned property and that a nstructton will conform to all eXIsting statc and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
otlicial can revoke thIS permIt for st cau . Furthc - " I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlDns.
G - Z'-P Y
x
Signature
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 Building Permit When Approved
Bllildlll!! Otlicial
Date
'Z.. n...~ U; 2- -&.-
Contractor's License No.
Date
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 $ 4-l7S-
Rec1No.
By .
(/
Paid
Date
t~7~
..s b z.. t; I-
ThIS IS to certIfy that the request in the above appllcatllln and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner Cllnstttutes a temporary Certificate of Zonmg compltance and allows construcl1on to commence. Before occupancy, a Certtticate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372