HomeMy WebLinkAboutBuilding Permit 09-0741
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Date Rec' d
117 () 1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
C 9- (; 71/1
I PERMIT NO.
White
Pink
Yellow
File
City
Applicant
at bottom)
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
PID
~'::~R ~~ ~I' 4c~-s~.
(Phone) ~,2,-- e:2
(Address)
Bun..DER
(Company Name)
(Contact Name)
(Address)
(Phone) b/.:2-SIP t'-..?O 6~
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK D New Construction ODeck
OAddition OAlteration
o Misc.
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
$
PROJECT COST /V ALUE
(excluding land)
n which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent for the
to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
ereby agree that the City official or a designee may enter upon the property to perform needed mspections.
~{PI??~~/
Contractor's License No.
7-/7- t!/ 7'-
Date
x
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
This Application Becomes Your Building Permit When Approved
Building Otlicial
Date
ThiS IS to certify that the request in the above applicallon 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 Zonmg 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