HomeMy WebLinkAboutBuilding Permit 09-0547
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----
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
lT~~;~:;:':om!
LQ ~ { J..i\
White File
Pink City
Yellow Applicant
{)d.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
J..4AJ
TYPE OF WORK 0 New Construction ODeck o Porch e-Roofing ORe-Siding
OAddition OAlteration OUtility Connection
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
x
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
Buildil1!! Otlicial
Date
o Misc.
B
S U
PROJECT COST /V ALUE $
(excluding land)
o Fireplace
/-ZD.CPj
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
ThiS IS to certify that thc 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 Celtificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any