HomeMy WebLinkAboutBuilding Permit 09-0517
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. (J". ~ 7'
1. While Fil.
2. Pink City
3. Yellow AppIi<Ollt
I PERMIT NO. () r- 5/7 I
I WNlNG,_-> I
Pv I Dv La K c: '5 '5 ~ 'I 2-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
\\<.. e..
Isag
Tous \
(Address)
TYPE OF WORK 0 New ConstrUction ODed: OPorch
OAddition OAlteration OUtility Co
CODE: OI.LC. OI.B.C.
Type of CoDStrUdion: I
Occupancy Group: A B E
Division:
n mIVVAB
F HI MRSU
1 2 '3 4 5
(phone) gS 2 - 41,-S I ~}/
mOY LK S5 72-
ORe-Siding OLower Level Finish 0 Fireplace
o Misc:
PROJECTCOST/VALUE $ \ 8/000
(excluding land)
I hereby certifY that I have furnished inftJrmation on this application which is lD the best of my knowledge true and correct. I also certifY that I am the owner or audwrized agent for the
above-mentioned and that all construction will conform lD all existing state and 10callaws and will proceed in accordance with submitted pIaDs. I am aware that the building
.. ... .~ "'- "'-1__-",",-"~'JOI~2i;~-~-"""'-77ioJ 04
Stgnature . Contractor's LIcense No. Date
Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S :.
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer & Water Permit Fee S
Gas Fireplace Permit Fee S
This Application Becomes Y OlD' BuildiDg Permit Wben Approved
Buildine: Official
Date
Park Support Fee # S
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
SewerlWater Connection Fee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S
This is to certifY that the request in the above application and accompanying documents is in acxordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City PJanner constitutes a temparaIY Certificate of ZDning rompJiance and allows construction to rommence. BefOre occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for aU inspections (951) 447-9850. fax (952) 447-4245
4646 Dakota Street S.E.. Piior Lake, Minnesota 55372