HomeMy WebLinkAboutBuilding Permit 09-0808
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/D .7. 07
~~~~w Ii~licanl I PERMIT NO. Oq, 0 ~ 6;/ I
at bottom)
ZONING (office use)
ADDRESS
LN
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) f3 r i 0..", m cxr11V\ S e>vJ
(Phone)
(Address)
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
Evfe.,..idr)
LL (
7' J -VCf]-7)70
BUILDER
(Company Name)
(Contact Name)
(Address)
ff LfPi> PAl'
TYPE OF WORK D New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
OLower Level Finish
o Fireplace
B
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
)( Misc.
A
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have hlrnished 10 ation on this application which is to the best of my knowledge true and correct. I also celtifY that I am the owner or authOrIzed agent for the
above-mentiOned property and tic struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the build10g
official can revoke this pelmi Just Ise Furthermore, I hereb cial or a designee may enter upon the property to perform needed 1Ospecl1ons
x
UJ~3sZq /
Contractor's License No.
$
$
$
$
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Date
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Buildlllg Otlicial
ThIS IS to certify that the request in the above applical10n and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerl1ficate of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372