HomeMy WebLinkAboutBuilding Permit 09-0786
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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. 3o~ oC;
I White
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 01. 07tJ(o I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
PID
OWNER
(Name)
p( I W't
i2~s h.
(Address)
(Phone)
&5-/- 2-1'1- 057/
BUILDER
(Company NameL4\k. i C,,,fit,I.vt.-J;
(Contact Name) t:!.."""i#-,l r"frvll4fll.
(Address) Iq&U /,
h(JH~-;
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Con
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
IV
I
3
V
M
4
A
R
5
II
F
I
III
H
2
I
E
x
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
(Phone)
(Phone)
q<L-- y'f(J f..tS(J~
k,-
e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
B
S U
PROJECT COST /V ALUE $
(excluding land)
'7-36 -Q~}
Date
$
$
$
$
$
$
$
$
$
--'
I hereby certifY that I have fbrnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-menlloned erty a d 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
otlicial can revet per t for J ause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed 1I1spections.
u~"3ml1~
Contractor's License No.
Park Support Fee
SAC
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ThIS IS to certifY that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner conSl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Cerllficate of Occupancy must be
issued
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
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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