HomeMy WebLinkAboutBuilding Permit 09-0784
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1,:16, OJ
at bottom)
1Jr- SE
'i
Pal' ku'
White
Pink
Yellow
I PERMIT NO. Oq. 07f4
File
City
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&:R ~C~~"'" K~vW>\l<,.
(Address)
(Phone)
q.s-2... - "'It- - I $"S8
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
I hcreby certify that I have furnished mformation on this application which is to the best of my knowledge true and conecl. I also certIfy that I am the owncr or authoflzcd agcnt for the
above-mentiOned property and that all construction will to all e ting state and local laws and will proceed in accordance with submittcd plans. I am aware thatthc buildmg
officia is per or Just cause Furt ore, I h yagr t t the CIty official or a designee may enter upon the property to perform necdcd mspeel1ons.
3D 55fJtJ1
Date
TYPE OF WORK 0 New Construction ODeck o Porch
OAddition o Alteration OUtiJity Conn
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
III IV V
HIM
234
A
R
5
I
E
II
F
I
x
Signature
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 Pennit When Approved
Buildlllg Otlicial
Date
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
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 $
ThIS IS to certify that thc requcst in the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. ThIS document
whcn signcd by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Bcfore 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