HomeMy WebLinkAboutBuilding Permit 09-0508
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
/72.~O
Date Rec' d
7. I ~j) ~
White
Pink
Yellow
File
City
Applicant
I PERMIT NO.or, 057J81
tN'v06/V../6SS ~/ L-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
SUf/UE;Vt;.!e-
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
.sU Pt;; tel 0 <<- fAil S7Jt.- .
PH-T JOvlTr:
3S 3 S- 7H s::r:
(Phone)
(Phone)
141z-~ 4-t1 0 ~ (,2-9 L
(Address)
'1>. L-.
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition DAlteration OUtiIity Conn ction
CODE: DLR.c. DLB.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
A
R
5
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
x
I hereby certifY that I have lilmished mformation on this application which is to the best of my knowledge true and eorreet. I also certifY that I am the owner or authonzed agent for the
above-me 0 ed properry and that all construction will eonform to all existmg state and loeallaws and will proceed in accordance with submitted plans. I am aware that the buildmg
official c re ke this permit J ca e ore, I hereby agree that the Clry official or a designee may enter upon the properry to perform needed mspecl1ons.
7./t/Or
Date I
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 Pennit When Approved
Building Otlicial
Dale
Z 0 63352-1
Contractor's License No.
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 $ ,. vv
~
ThiS IS to eertify that the request in the above applicatIOn and aceompanying 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 Cellificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certifieate of Oceupaney 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