HomeMy WebLinkAboutBuilding permit 09-0793
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10. /. OJ
Oll/ (j L E Pz-
S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~FE. ~!:;-- I PERMIT NO. Of. 6793 I
I ZONING,_=) I
Pill
~=R :Y-eFr PetRick 1-
fJvrv Hi W^B/)
9:;) - ?-?J.- If ~ tp 3
(Address)
sA-mi3
(phone)
~c::: Name) ftt1H~121' C/fT;' flg/Ylole 1'~1 {~~~ S
(Contact Name) rvdkf' 5vve ~q
(Address) (p 13 I t11~ll' I Iv I Po, 6o,-r ?1}.) 6e Iii P/tJiJ-v'(
(phone) q~rJ-~? 7'J - 3'] '/ '7
(phone) q b; - 'i S-t, - ,?- J '-11;
f"tl1I'V , ~.O/ I
TYPE OF WORK 0 New Construction ODed: OPorch ORe-Roofing
DAddition DAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of CODStruction: I
Occupancy Group: A B E
Division:
n mlVVAB
F HI MRSU
1 2 3 4 5
-Siding DLower Level Finish 0 Fireplace
o Mise:
PROJECTCOST/VALUE $ / ~/ 1-0(/, <ZrV
(excluding land)
I hereby rertify that I have furnished information on this application whicb is to the best of my knowledge true and oorrect. I also rertify that I am the owner or authorized agent for the
above-mentioned property and that all construction will oonfurm to all existing state and local laws and will proceed in aaxxdance with submitted Jl!ans. I am aware that the building
~- _.I__.....m,~;~7;3:;,-.._w--:;j;m-/
- ~ Contractor's License No. Date
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
Buildillg Official
Date
Park Support Fee # $
SAC # $
Water Meter Size 518"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
This is to certi1Y that the request in the above application and accompanying documents is in acrordance with the City Zoning Ordinance and may proceed as requested_ This document
when signed by the City Planner oonstitutes a temporary Certificate of Zoning oompliance and allows ooostruction to commence. Befure occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 honr notice for aU inspections (952) 447-9850, fax (952) 447-4245
4646 DMkotll Street 5.E., Prior Lake, Minnesotll 55372