HomeMy WebLinkAboutBuilding Permit 09-0540
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
{, 1/1,0 '!
ADDRESS
3591
I S { Cf.Y\d
!JW
LEGAL DESCRlPTION (office "1Ie only)
LOT
BLOCK
ADDmON
I WhlIO Pile
1, rink Ch)'
). VlIlInw ^",i~nt
IPERMlTNO. Of. o~ol
J [WNJNG'-~)l
i537~
~ ()j..- I~. MY!
J
pm
OWNEll () ..
(Name) ThpfV\A S. tYJ(}.~i'tttv
(Ac:idreSS) 3'5~ I s.la.v.d. vj <..J..,.) u'velL Pn'iN
IV
(phone) q t,;J..,... V( '-1[- ";}o"7
~ yV\.1/\ 5537.:1.- /[,0"3
BUILDER
(Company Name) ACt, IV\. ~C-
(Contact Name) A ( Se v Li \L..
(Addres.') tI ~ Nw
(phone) 5bl-I'-1L1- 6l3c?--
(Phone) qSJ- d-'iD- ?:lIS)
LoVlsht~ ~ (V\vJ SSCJ..-t ~
TYPE OF WORK 0 New CcmsttUcrion ODcck Ol'ordl r;B1te.ROO!l1l11 l8ke-Siding Or..ower Lc:vel Finish 0 Fireplace
OAddilion DAlrc:ratiol\ eJUtillry COl\n~on
CODE, []I.ll.C. Dl.B.C.
Type of Coastruction; 1
Oceupancy Group: A B E
DiviAiou:
D
F
1
mrvVAB
HI MB.SU
2 3 4 5
J',:a<M\~c:
_'aq;lfJ..u at~V\, U)'M1H~l~
PB.OJECTCOST/VALUE S ;;tSI bOD
(cxc:l1llJiDg lAnd)
) bcJdly <<nify thaI) have fumI~hC(l information on mu application whiCh b lD lhe bc:!It of my knowlcd;c lNO and COI'\'IlCt. 11.ISO cc:nil'f lhat) an'l dlc ownllt or ludloriKd aaoat for the
~1xM:.menlioncd ptOp<:!tY and thlt aU conotnltlioD win conlbrm lD III uistiDa ,tatc anc1 local Iawo and will proceed In ~ccordAncc with ,ubmitmd lll&lls. 'am IWUl! tllat the buildina
o;al CA~s nnil ror!~( (alllC. FI~nnOtt. J berth, avcc ~=Iy= 0( ~o:~i~q~ the propeny to perform n-;i:~ q
Siilnaturc ConttactQr's License No. Call:
Pennit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge S
Pet'lllltY $
Plumbing Permit Fee S .-
Mechanical Permit Fee $ -.-
Sewer 8l; Wa~ Pennit Fee $
Gas Fireplace Pemtit Fee S
11ris A"licBIioll B<<08ltIl'out hiI'iaJ; PUllut W1IeD Approved
BuildinJ[ Official
Da"
Park SUl'1'ort Fee *' $
SAC # $
Water Meter Size ~/8"i 1"; $
Pressure Reducer $
Sewer/Water Connection Fee II S
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
This ia lD eortIl'y Ibll tIIo ICqucsI in the ablM: applleation Uld Kcam~a~ docum~U Is in UCIl1'ClIllCC with the City ZoninR OrdinlUlCt IJ1d "")' proceed II (C((I1C$K'd. TIlls dOCUlllllllt
when Alned by dIl: Ci<y Planner constilutCI J. tlCl1l\IOtIIY Cl!l'l\finlc of 20ainll compIiltleo ;and a110'V$ con..1I'lICIion III COll1lllm~. Before ocwpll1\o:)'. a CCI'llficlte of OccupItIcy !l11I!t he
ilIlulltl.
-. --Piiiii\iiii"DiJCCiM-.- - - --.~ - - -----sp~ti~--
detectors shall be .~r notitc fo" 1111 illlpccdoal (95:1) 4.7-98.'iII. fu (952) 447-42 5
UI'P...u464' D~kobl Street 5.".. P"inr L~kt. Mhnesola 5l!iJ'12
as per the requirements of die IR.C
duouJbout the house. Battery openMd
IIIlOke detectors may be .iDIIaUed In
existing stJUctures.