HomeMy WebLinkAboutBuilding Permit 09-0692
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
File
Cily
Applicant
I PERMIT NO. oq. O&Cjt
White
Pink
Yellow
at bottom)
QuoK-e r-I Y'(:).: I
N.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~=R CSQ rn U-e.. \ S e.. y..re y--l-
(AddreSs)A~d \ QlJQ.~y~rC\\
N.c.
(PhOne)~O l d 10 o'3SS
BUILDER '\"":) - /1l" <. ~ 1 u+ .
(Company Name) 'lYO\f>Cr-4.'f L- Q\'('(l <-U 10 ('\
(Contact Name) ::r-a. rn m~
(Address) Ak:=, 5 Tli 0 l s -Rd Eo Q n
(Phone) ~S I qq 4 ~
(Phone) S L qqA dDd
M)J S51dd
TYPE OF WORK 0 New Construction ODeck o Porch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ orOCJO. dlO
I hereby certify that I have lhmished mformation 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-mentIOned property 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
OffI~voke thIS pel mlt for Just cause Fmthermore. I hereby agree that the City offiCIal or a desIgnee may enter upon the property to perform needed InspectIons
X I ~~~or's~~s~8 ~ /'5 L~9
Permit Valuation
Permit Fee
Park Support Fee
SAC
$
$
$
$
$
$
$
$
Builder's Deposit
Other
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
Building Otlicial
Date
#
#
$
$
$
$
$
$
$
$
$
#
#
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 consJIlutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate 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