HomeMy WebLinkAboutBuilding Permit 09-0688
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. e. 0 r
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 09.0 c,f?61
at bottom)
T~IL+tOJl> UJ sf yr10rlctKe
1'110 5537~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
(Phone) q .52 - c2J 7- () Z Z J?
tJ 653'-
OWNER
(Name) =---.sHt0,nh
5~
BUILDER
(Company Name)
(Contact Name)
(Address)
J-l [JY?1 e- (1 "U 11 f "'v-
PlA.I 'j c /
(Phone) CI("2.- 2/7 c.'? 2 (f
(Phone)
TYPE OF WORK 0 New Construction eck o Porch ORe-Roofing
OAddition OAltera n DUtility Connection
tJ () ~tq
III IV
H I
2 3
ORe-Siding OLower Level Finish
o Fireplace
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
o Misc.
B
S U
A
R
5
V
M
4
II
F
I
I
E
PROJECT COST IV ALUE $
(excluding land)
A
B
I hereby certify that I have fi.1rnished mformation on this application which is to the best of my knowledge true and correct. I also ce11ify that I am the owner or authonzed agent for the
above-menl1oned properry and that all 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 revo this permit for Just cause Furthermore, I hereby agree that the Clry official or a designee may enter upon the property to perform needed mspecl1ons.
x
Contractor's License No.
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
q-q - oq
Date
$
$
$
$
$
$
$
$ .
$
cordance with the Ciry Zoning Ordinance and may proceed as requested. ThiS document
allows construction to commence. Before occupancy, a Cerllficate of Occupancy must be
(952) 447-9850. fax (952) 447-4245
Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
. BUilDING AND INSPECTION
INSPECTION
RECORD
56'8 ~ (JCA/L'/-(-[7rQ tAl.
G
S\TE ADDRESS
TYPE OF WORK
USE OF BU\LD\NG
PERM\T NO. . 0; &7 9 8
BUILDER () M PHO E #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
.~
_1\
.~~
FINAL
C
L4c;s (J~ ~~ ~
.
FOR ALL INSPECTIONS (952) 447-9850