HomeMy WebLinkAboutBuilding Permit 09-0785
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
J
at bottom)
LA-(
~ kr
Date Rec' d
9JtJ, 07
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 09. o7e5/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
BUILDER
(Company Name)
(Contact Na
(Address)
(Phone)
(Phone)
(Phone)
CJ5;;--9/s; 7~dC:
TYPE OF WORK 0 New Construction DDeck DPorch e-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration OUtility Connection
CODE: OJ.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
J
E
II
F
I
III IV
H J
2 3
V
M
4
x
which is to the best of my knowledge true and correct. I also certify that I am the owner or authoflzed agent for the
al xisting state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
n< "" ","' offid.",. "'<',o~ 72J:r' 0' "",,,"," ""'"m ,,"" mq"'b 'It? 4
Contractor's License No. 6ate ~
I hereby certify that I have hlrnlshed m
above-mentIOned property and that al
official can revoke this permit or Just
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 Pennit When Approved
Buildlllg Otlicial
Date
o Misc.
A
R
5
$ {P/?S~
B
S U
PROJECT COST /V ALUE
(excluding land)
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 $ It -
fr;:J
I Rece~o ~/
BY? '
Paid
Date
ThIS IS to certify that the request in the above applicatIOn 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 occupancy, a Certificate 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