HomeMy WebLinkAboutBuilding Permit 09-0671
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
Date Rec' d
7. I. 01
~~~:~ew ~~:Iicanl I PERMIT NO. 09. 0 (,7 / I
SHotee
7/e?41L- Ale
ZONING (office use)
53B/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
i kJo r:.s
Koniu-s
(Address)
PID25: 040 0/4--.0
(Phone) qf5;;J -L/-IJ. -45'1 ~
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
DAddition OAlteration OUtility Con
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
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
x
I hereby certifY that I have lhmished mformation on this application which is to the best of my knowledge tme and correct. I also certIfY that I am the owner or authOrized agent for the
above-menl1oned roperty 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 building
official can r t~permit for Just c use. F hermore, I hereby agree that the Clry official or a designee may enter upon the property to perform necded mspectlOns.
.. q-I-OCj
Date
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
Building Otlicial
Date
Contractor's License No.
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 $
ThIS IS to certifY that thc request in the above applical10n and accompanying documents is in accordance with the Ciry Zoning Ordinance and may procced as requested. ThIS document
whcn signed by the Ciry Planner conslltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ceruficate 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