HomeMy WebLinkAboutBuilding Permit 09-0589
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
~~E
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
White
Pink
Yellow
I PERMIT NO. L ... S. 8\J
File
City
Applicant
f2J
ZONING (office use)
Sw
PID
OWNE~ .
(Name) nA~
s~~ i:: A. (
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
-r;,.c-
~c'S-: -0.00.5
b yq - 02.s
[' )c feJ 1'oJ~
~lt/\SN~
!/L ~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorc
OAddition OAlteration OUtility Con
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III IV
H I
2 3
V
M
4
I
E
II
F
I
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
A
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
", 0Cl)
o the best of my knowledge true and correct. I also certify that I am the owner or authoflzed agent for the
ex. ng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
at the Ct~ 02~~de~n7:;;7n the property to perform ne!;?~17o ,
Contractor's License No. Date
X
Permit Valuation 2-
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee j
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ (.~. ,.-
~~~ 1:{ro ~
I ~;ceiEt~~ 7 I
ThIS IS to certify that the request in the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372