HomeMy WebLinkAboutBuilding Permit 09-0442, 09-0443
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I =9$;~~.':ttom: Sf. S [
Date Rec' d
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. ~f" 4'12.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
Pill
OWNER
(Name)
(Address)
(phone)
3d -dcJ&-
/'
56
(Phone) /p~ ' 'i? .;1 ,3. f_Cl Sl4..iG
rhone) 5:J ~~/5 - 7~
~. ~($
TYPE OF WORK D New Construction DDeck DPorch e-Roofing
DAddition DAlteration DUtility Connection 3.?()v
CODE: flt;R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
n
F
1
ill IV V A
HIM R
2 3 4 5
x
. cation 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 awa e that the building
agree that the city official or a desi1B !!;Dter upon the property to perform needt:9s ~:5:' '60;
Contractor's License No. Da
I hereby certify that I have fumis
above-mentioned property and
official can revoke this permit for
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
"Z.~. -
$
$
$
$
$
$
$
$
.'2.,
DLower Level Finish D Fireplace
c::>
D Misc:
. r;t;
PROJECT COST/VALUE $__ .1, ()[}CJ.
(excluding land)
B
S U
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 $ '"'\ ~.-
I ~~: J:r,7~
I ~;ceiPtN~i/
This is to 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 of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. ~ . 4-1:3J
ST.
~.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
F~ p€L-A\J~6
~A"1.6-
(Address)
(Phone)
2 ~ - 4-01.~
BUILDER
(Company Name)
(Contact Name)
(Address) 4-
$~ .<X-
~~
ooG '-L:c.t!E:'L5
TYPE OF WORK D New Construction DDeck o Porch ORe-Roofing
DAddition OAlteration OUtility Connection
CODE: DI.R.c. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
OLower Level Finish D Fireplace
o Misc.
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
$
I hcreby certifY that I have n.lrnlshed mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owncr or authorIzcd agent for the
abovc-mentloned property and that all construction will conform to all cxistmg state and local laws and will proceed in accordance with submittcd plans. I am awarc that the buildmg
official can revo S perm' for Just cause Furthermore. I hereby agree that the City official or a designee may enter upon the property to perform necdcd mspcctlOns.
x
Permit Valuation
Permit Fee
~~
$ S"
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/0'0
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
1~~~~(0Cf
Ceo - ;;? ~oj'
Date
#
#
$
$
$
$
$
$
$
$
$
....
#
#
I ~;ceiPt NO~~1j
ThiS IS to ccrtify that t c r ucst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procecd as rcqucstcd. ThIS document
when signcd by the City Planner constltutcs a temporary CCltificate of Zomng compliance and allows construction to commence. Before occupancy, a Ccrtlficatc 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