HomeMy WebLinkAboutBldg Permit 09-0510 (Windows/Siding)
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTll.,ITY CONNECTION PERMIT
(Please type or pdnt and sign at bottom)
I ADDllESS 5"4-70 eeVrJl4v(/'i)O .sr.
Date Rec'd
1. White File
2. PiDk City
3. VeBow AppliClllt
7./1.0(
I
I PERMIT NO. tYf ~5(o
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT"5 BLOCK ADDITION ~A/D PaA/ rt?
&= 'TkOYhQ S 8~~ e
(Address) S l.{ 7 D C ~ j II J- 4Jp oj c;. j. .
BUILDER. I.' / '
(Company Name) () f ," '"
(Contact Name) ,?o II,..""
(Address) -:A./ ~ ( eu'
~ I~ ~. f-rlA.. ~ 'f-,' "'"
L et.t-t
I I'?",,~.
~ A-Dt)N.
Pill
y... , \) ,.
(phone) 9 5;)-- ~ ';;J-( - l.( ')., 4/
L&(f(~ A~ sS37.2.
:E" VI C r (phone) 95 2- - ~ f - '1 ~~C(-
(Phone)61l. - "7~6- 3 yl( c) e.el/
" C/, 'I' I ~ ~ ~S:--CJ(,f C(
TYPE OF WORK DNewConslrUction []Deck (]Porch ORe-Roofing ~~yDLowerLevelFinish
DAddition []Alteration OUtility Connection \..:...=
CODE: JGLR.C. DI.B.C. . IlQ"Misc: .:T"lA s1 tH ( Lr tr ') P r
Typeof&~on: I n m IV V A B -
Oc:aIpaDqGroup: A B E F HIM R. S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
o Fireplace
w,}1 tf (J v-J"s.
/0, ,00
-
, I hereby certify that I have fumished infurmation on this application which is to the best of my knowledge tnle and correct. I also certify that I am the owner or authorized agent fur the
above-men . propert;y and that all coDStnlction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o1licial ke this permit for just cause. Furthermore, I hereby agree that the city o1IiciaI or a designee may enter upon the property to perfunn needed inspections.
X. ~ -JJ. Bo~4 2<} 5 <<f 7-/3- 0'7
Signature Con1Iactor's License No. Date
Permit Valuation.X S-a;; -I-2-~
Permit Fee $
Plan Check Fee $
State Surcharge $
Penaky $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
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 $ I 'I ~ .7Oj
I Paid
Date
~7~ 7~
I ~ceiPtNO.~~O
in the above application and accomplIDYing documems is' acco with the City Zoning OrdiDance and may proceed as requested. This documeDt
constitutes a temporary Certificale of Zoning comp . and construction to commence. Befure occupancy. a Certificate of Occupancy must be
Date Special Conditions, ifany
onr Dodee for aIllnspecdons (952) 447-9850, fax (952) 447-4245
4646 Dakota Street 8.E., Prior Lake, Minnesota 55372