HomeMy WebLinkAboutBuilding Permit 09-0536
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I White File
2. Pink City
3 Yellow Applicant
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER~ ^A
(Name) \ HOIV\.-A") r ~~bA.J..-J
(Address) ~^~'L...
(Phone)
BUILDER
(Company Name)
(Contact Name)
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1-l 'Z... \..{ 'S \.VAlA-(:)"V\A:s..L ~Q.. CS"",t..'G.lV i.-~
(Phone)
(Phone)
M..0 5") 1-
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: ~I.R.C. OLB.C.
Type of ~ction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
(Address)
Re-Siding OLower Level Finish
o Fireplace
o Misc,
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that I have furnished Information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authOrIzed agent for the
above-mentioned propelty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can e this permit for just cause Furthermore. I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlOns.
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
l..0'o ~ \ 'L SL
Contractor's License No,
7. ZO.,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ l~'" ...
I ~~: 1f;;j or
I ~;ceiPt N/fi!t'--i
equest in the above llJlplicatlOn and accompanying docum ts is i ccordance with the City Zoning Ordinance and may proceed as requested. ThiS document
lanner constItutes a temporary Certificate of ZonIng com iance d allows construction to commence, Before occupancy, a Certificate of Occupancy must be
Da
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any