HomeMy WebLinkAboutBuilding Permit 09-0621
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13106
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
y, /1. 0 J
White
Pink
3 Yellow
File
City
Applic8m
, PERMIT NO. OCf, O~ 2../ I
at bottom)
ZONING (office use)
102-CJ/
PAR~ IEed Dte/fI~ S.~.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
rID
OWNER
(Name)
kl</s
/02- q I
(Phone)
1Si-'2-U-bC;~1
(Address)
.s.~
I BUILDER /I.' ~~ /)_ ....L._ ...L
(CompanyName)~</;.)' ~y-~~
(Contact Name) k(Ejrl-l E.Lv€l'<S&J
(Address) .;;1960 v;;..
TYPE OF WORK 0 New Construction ODeck o Porch Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiliry ConnectIo
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
/3, '2-60 Po
,
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also cel'l1fy rPat f am the owner or authonzed agent for the
above-mentlllned property and that all construction will conform to all existing state and local laws and will proceed in accordance with ~ubmitted plans. f am aware that the buildmg
"nidal can re ke this permit Ju.t causc Furthermore, I her by agree that the CIty offiCIal or a deSignee may enter upon the propcrty to perform needed mspt'ctllms
;;2.01 ~9 ~ 8"3 $'~.;$/o7
Contractor's License No. { Bate
Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other ,c_
#
#
BlIildllH! Otlicial
Date
TOTAL DUE
.00
This Application Becomes Your Building Permit When Approved
ThiS IS to certity that the request in the above applicauon and accompanying documents is in accordance with the City Zoning Ordinance 4nd may proceed as requested. ThiS document
when signed by the City Planner constitutes a tt'mporary Certiticate of Zonmg compliance and allows construction to commence. Before <iccllpancy, a Cel1lticatl' "I' Occupancy must be
issued
Planning Director
Sp~cial Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372