HomeMy WebLinkAboutBuilding Permit 09-0776
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
12101
I White
2. Pink
3 Yellow
File
City
Applicant
, PERMIT NO.oct. () 7701
at bottom)
ZONING (office use)
FI'l\t {!Jl
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ,/
(Name) --V e.,,, 0 "
(Address) /
ck
2-
f1 a v ~ 'I \/ (1 -::)0 h ""S 0/1
r:// r1 I I20P /'ltJr
(Phone) 7~Z- '-1'17- ?L/3 '5
.kk. ffi, z-
BUILDER 0 /J _ n f) n J~
(Company NametJ'-O€..n f'OOf-.; 0 f ~~f~
(Contact Name) ~C")e -l
(Address) \ q 00 tAl> c:.c..cc.. r U co,.,;
I~
(Phone) ~n.)... lflf 2-1 OCJ Z-
(PhOne)(~ l}$? 7 S--77~ 7
)1/1
DLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction DDeck o Porch
DAddition o Alteration DUtility Connec io
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnished mformation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authonzed agent for the
above-menl1oned properry 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 buildmg
official can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the properry to perform needed mspections.
~ 70<0 "2- f.D "$ :;"> '1--
x
-o~
ontractor's License
Date
Sewer/Water Connection 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
#
#
Permit Valuation
Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Building Otlicial
Date
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
-
This Application Becomes Your Building Permit When Approved
ThiS IS to certify that the requcst in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Celtlflcate 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