HomeMy WebLinkAboutBuilding Permit 09-0599
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. f.-5~f
ZONING (office use)
r
03 ,.- W 1,- /)dLA-6G;-S /7<-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
\ Mc.ij tt- Zn ~ O"l.iri'~ l-
17 () '?/; tJ.. fd./flI"'-ss
me)
(Contact Name)
(Address)
(Phone) 1)2,.... z u - If II {
LC-
q~-'-ft/<;-~ 370
ft; ( 'Z ... 7D 3 ... 7~ 'l{)
(Phone)
(Phone)
IL{,J
c,r; .
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition ~lteration OUtility Connection
CODE: ~T.R.C. OI.B.C.
Type of ~truction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
o Misc.
PROJECT COST /V ALUE $
(excluding land)
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
,2~~~~l/ilo.
Date
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 $ 41 ~7S-
\ ~~:. ~kr!'-)
I ~~'eiPt NfjJftc:o
Thts IS to certify that the request in the above applicalton and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner consltlUtes a temporary Cel1iftcate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 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