HomeMy WebLinkAboutBuilding Permit 09-0709
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS/ 7 c2Dtr
/fl/ tL
ZONING (office use)
9./1.09
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 9. 0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(L(2 ~ ~
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition o Alteration OUtility Con
CODE: DI.R.c. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
x
(Phone) ~/2 . Z l ( 'y7/o
L.
(Phone) ,,!7 - 011 b ' 0 Q 90
(Phone)
f' { PCL.-t
e-Roofing
ction
ORe-Siding
OLower Level Finish
o Fireplace
o Misc.
B
S U
/0/ {')6"t>
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I hav ormation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentlOned pro and that construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke s permIt J t cause Furthe ore, I hereby agree that the cay official or a designee may enter upon the property to perform necded mspectlOns.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Otlicial
Date
Contractor's License No. Date
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 $
ThiS tS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requestcd. This document
when signed by the City Planner conSl1lUtes 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 Prior Lake, MN 55372