HomeMy WebLinkAboutBuilding Permit 09-0588
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or priDl UId sip at bottom)
IAD~
17 a.50 TD{OAto ~ SE
I LEGAL DESCRIPTION ''''"'' - <mly)
LOT BLOCK ADDmON
&:a Vul~n ~U\
(Address) t,Jso-n
Date Rec' d
1. Wbito File
2. Pint Cil)'
3. Yellow AppIiamt
I PERMIT NO. ~ r 5 <f <f I
II ZONmG'__1 I
I
PID
(Phone) q sa.... Lf<-f 7 - ta CJ / J
s 7a-.
BUILDER. I) - 0 _.1
(Company Name) K ~ ~c;It"\/)() I .IVc. (Phone) "@3- 31!>-{)/JJ '7
(Contact Name) lYLr~ ~ (Phone)~l3hq-UJd-O
(Address) ~'tD Ql{dvf\ ~ ~ ~ie A ~i. MltJ..a-e1J /.{N ssa 7 f.p
TYPE OF WORK 0 New Construction ODeck OPorch ~-Roofing DRe..siding DLower Leve1 Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.B..C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Dil'ision:
n mIVVAB
FBI MB.SU
1 2 3 4 5
o Mise:
PR.OJECT COST/VALUE $11 15, 37 B. q3
(exclulIing 1aDI)
I hereby oeJtilY that I have fumished iDfunDation on Ibis application wIIich is to the best d my IaIowIedse true aDd ronect. I also oeJtilY that I am the OWIler Of authorixd apt fur the
above-mentioued property and that all ronstIUctiOG will 00IIfurm to all aistiDg stale and local laws and will proceed in acrordance with submitted plans. I am aware that the building
~~_I_--"""ao~;,,;r.._m_"ir;;;q
Signature Contractor's License No. 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 $
ThlJ Application Beauues YOUI' BuiJIIiDI Permit When Approftd
~~1
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other S
TOTAL DUE $ 7~. 0-0
/
I~: V!ilJ)%iJ
I :;eiptNO. I ~9q 8'6 I
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This is to oeJtilY that the request in the above application aDd accompanying doaJmenlll is in accordance with the Qry Zoning Ordinance aDd may proceed as requested. This document
when signed by the City Planner CODSlitutes a temporary Certificate d Zoning compliance aDd allows coostruction to commence. BeIbre occupancy, a Certificate d occupancy must be
issued.
P1Iuming DiIOClor
Date Special Conditioos, if any
24l1oar aotiee tor aD bIspeetiou (952) 447-9850, tiu (952) 447-4245
4646 DaJrotll Street s.L, Prior Lake, ~ S5372