HomeMy WebLinkAboutBuilding Permit 09-0723
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
f,1r:~7
~: F.t ~ I PERMIT NO. Oq~ 0 72.31
I I WNING,__) I
~ LAKE fI\N SS3r'"}-;}
I
I ~::::;:: RD NE
I LEGAL DESCIlIPTION ,- = ooIy)
LOT BLOCK ADDmON
OWNER
(Name) AAR~N
(Address)l5C6Ol
Date Rec'd
PID
(phone) (Ol~ -9lo'3-(o{?q.9
MN 3'1 @.
(Phone) Q59-49l.o-Q411
(phone) Qsa-4Q/r;-Q41 J
tvlN SS3
TYPE OF WORK 0 New Construction DDeck Dporch Re-Roofing DRe-Siding DLower Level Finish 0 Fireplace
[]Addition DAlteration Dutility Connection
CODE: []I.R-C. []I.B.C.
Type of Construction: I
Occupancy Group: A B E
Dimon:
II mIVVAB
F HI MRSU
1 2 3 4 5
o Mise:
PROJECTCOSTIVALUE $
(exc1udin& land)
~oo <) CO
I hereby certifY that I have furnished infurmation on this application wbicb is 10 the best of my knowled8e true and correct. I also certifY that I am the owner or authorized agent fur the
above-mentioned property and that all construction will a:mfonn 10 all existing state and 10caI laws and will proceed in accordance with submitted plans. I am aware that the building
. this.t. . I~ agJee that the dty ofticial or a designee may enter upon the property 10 perfunn needed inspections.
X Q(jeo3/;;J 4? 9-14-CJ1
Contractor's License No. Date
Permit Valuation
Permit Fee $ '1b" CO
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
'Ibis AppIkatioo Becomes Your Buildias Permit WIat Appmftd
Buildin~ Official
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 $
This is 10 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 ~ Zoning compliance and allows construction 10 commence. Befure occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditioos, ifany
24 hour BOtiee for aU illSpediou (952) 447-9850, fax (952) 447-4245
4646 Dako.. StI'ftt s.L. Prior Lake, Mimtesota 55372