HomeMy WebLinkAboutBuilding Permit 09-0598
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
File
City
Applicant
PERMIT NO.O q~ 5 ~ f
White
Pink
Yellow
at bottom)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
L d v,' '5
-J. <-:;(j
ZONING (office use)
tE \<'1
[' /tl~ tJ
(Phone) 7 -) 4 - </ C(S-- - 0 jo-~
rnA 0 -s
c:::-- >
-==:> ,
(Address)
"'f:> (Phone) 9)-d~fY7 .<)? 7V
(Phone) (; ( ") ~-)7 7 -.1 '}-y;,
BUILDER CC/'
(Company Name) ,)
(Contact Name) ~ i "'''1 /-\4 h- I
<' -S +
(Address) ~5 0 J '" j,vt M ~ (
TYPE OF WORK 0 New Construction ODeck DPorch
DAddition OAlteration OUtility Con
ORe-Siding OLower Level Finish 0 Fireplace
Receipt No. t'64 <fir
By '--
-
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Gronp: A B
Division:
o Misc.
A
R
5
I
E
II
F
1
III IV V
HIM
234
B
S U
PROJECT COST IV ALUE $
(excluding land)
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"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
I ~~:. ./qi/~l%~
...----: ..s-
Date
1~~
r
$
$
$
$
$
$
$
$
$
ThiS IS to certifY that the request in the above application and accompanying 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 Zoning 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