HomeMy WebLinkAboutBuilding Permit 09-0610
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
K. (1,_0 j
~i~~e ~:~y I PERMIT NO. A a. (:) I-tO I
Yellow Applicant U L_ ~
ZONING (office use)
15/Q,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
..s...fev...e..
/Yll.l / l.e V\
(Phone)
~/2,-- S?g -;;),98:.7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
"'
DSW Co~ S.7RvC,4-loYL
.J:::::e, I'l SL}i ~ Ie
.
h (2 -gtt) ( -.2 ~.(:??
(Phone)
(Phone)
OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
I hereby certify that I have nlrnished 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-menl1on property 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 building
otlicial revoke this permit for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspecl10ns
S//2-/oq
I ASate
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
llIIV
H I
2 3
V
M
4
A
R
5
I
E
II
F
1
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
Buildill!! Otlicial
Date
o Misc.
B
S U
~ 000
()~
PROJECT COST IV ALUE
(excluding land)
$
...20 cf- Slf 167
Contractor's License No,
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
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 constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occllpancy, a Certificate of Occupancy must be
isslled
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