HomeMy WebLinkAboutBuilding Permit 09-0361
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
Date Rec' d
~: E't I~lic'nI I PERMIT NO. 0 q. O~ / I
~/L-
ZONING (office use)
;(!../
/72&2-
WI ~De,eN 6SS
LEGAL DESCRIPTIO
ce use only)
LOT
BLOCK
ADDITION
PID
o
OWNER
(Name)
O/lV/.D
BteU7l)N
(Address)
(Phone)
2Z.~ ~ /7/ 4-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition DAlter
Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
on ( OUtility Connection
'>>- teA II..I Ntj {] Mi~ (J~ tt/llI/h- DB!,/(., J?(.,T. #03. 04<3t.
III IV V A B PROJECT COST /V ALUE $
HIM R S U
2 3 4 5 (excluding land)
CODE: Or.R.C. DI.B.C.
Type of Constmction: I II
Occupancy Group: A B E F
Division: 1
I hereby certify Ihal [ have furnished informalion on Ihis applicallon which is to Ihe best of my knowledge lrue and correc!. I also certify Ihat I am Ihe owner or aulhorized agent for Ihe
above-mentioned pro d thai all construction will conform 10 all existing Slate and local laws and will proceed in accordance with submilled plans. I m aw re thallhe building
:m. an revoh(Th. pc it jusI cau:se. Furthermore. [hereby agree that the city official or a designee may enler upon the property to perform ner;; In clio .
Signature Contractor's License No.
Permit Valuation
Permit Fee _.,. $
Plan Check Fee $
State Surcharge S
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $ .
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Date
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 $ 4/. 7.5
ThIS is 10 certify thallhe request in the above applkation and accompanying documents is in accordance with Ihe City Zoning Ordinance and may proceed as reqnestcd. This docnment
when signed by the City Planner comlilules a temporary Certificale of Zoning compliance and allows conslruction 10 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
o
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
7z ~
tJ'i
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
BUILDER B/e.tJ7TJN PHONE # ZU,./7/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"'E NO CONCRETE UNJIL AB:O~AS B~EN SI::ED
- I I
I FINAL I ~ I ~.1A.ol
FOR ALL INSPECTIONS (952) 447-9850