HomeMy WebLinkAboutBuilding Permit 09-0618
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 9 - (.1'0
at bottom)
ZONING (office use)
ve
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(.0 ,'fl) ('\
(Phone)
~/ Z - ~tJt -3J8/
(Address) /7/ CJ
'-0 I" +0
ve
BUILDER
(Company Name)
(Contact Name)
(Address)
?('e~ :e.,.
7?k..\/I./
,
??!"r:..c
~.t:I\V\~ 61./ KIA,c1 ~ L L ('
I' 'd ,
V: ,,4t.-r" ~-J-~
I- t:..; Ml.<." Il.e f
(Phone)
(Phone)
1'1- tV
(;( 2 "762 -l/72 5
TYPE OF WORK 0 New Construction DDeck OPorch e-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition o Alteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE S
(excluding land)
5S0Q
I hereby certifY that I have hlmished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authoflzed agent for the
above-mentIOned property 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 building
Offio.:q=" '" '''' ",,, F~<h~~,. I h~by ."" "" '" CO" offi,'" ~. d~i.." =, "'" "'00 "" ~",",," _= ",,<kd ."'"'~"
X h..~ 2.rJ.S- 9$- ~t,l4 6' It I /0 )"
Signature Contractor's License No. 'Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /,~
Iication Becomes Your Building Pennit When Approved
Paid
Date sjer/I)'
I ~;jJpt No. S8'lIJ
Buildin!! Otlicial
Dale
ThIS IS to certifY that the request in the above applicatIon and accompanymg 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 Zonmg 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