HomeMy WebLinkAboutBuilding Permit 09-0620
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTtnCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. /3.07
~. E!.. aiclnt I PERMIT NO. 0 ~ 0 (, z.o I
'f1- t'o r lcJ~e., lVt t\)
I ZONING '--l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
~'::~R 5{~ll\- D~-t\v
,
(Address) 1 <60
(phone) (0 I d LJ l q d 7 ()c::;;
PI' \'~ L k Ylll)0 s-5'37
.>"I1G"
BUILDER
(Name)
(Contact Name)
(Address)
(phone)
(phone)
TYPE OF WORK
ODed
o Fireplace
OPon:h
OAddition
o New Construction
OLower Level Finish
OAlteration
o Misc.
PROJECTCOSTIVALUE (excludingland) $
ORe-Siding
OUtility Connection
I hereby cenifY that I have fiImished information on this application wbich is to the best of my knowledge true and cona:t. I also certi1Y that I am the owner or
authorized agent fur the ~ . property and that an CODStI'UCtion will conform to an existing ~ and local laws and wiD proceed in accordance with
submitted plans. I am aware . ding official can revoke Ibis permit fur just cause. FW1hennore. I hereby agm: that the city official or a designee may
enter upon needed inspections.
x
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
WaterMeter SizeS/S"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
This Application Becomes Your Building Permit When Approved
Building Oflicial
Date
$
$
$
$
$
$
$
$
$
'Ibis is to =tiIY that the request in tile above application and ~"d.a documems is in acxonlaDa: witb tbe City Zoning Ordinance and may procred as ~ 'Ibis doaJment
when signed by the City Planner COIISlitutes a temporary Cerlificate of Zoning compIiaDce and allows CllIIStrIJClion to c:ornmence. Bdixe cx:mpaDCy. a Cerlificate of Oa:upaucy DRlst be
issued.
Planning Director
Date Special Conditions, if any
24 boor notice for aD inspections (952) 447-9i50, fax (9Si) 447-42045
16200 Eagle Creek Avenue Prior Lake, MN 55372