HomeMy WebLinkAboutBuilding Permit 09-0801
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
lb. {g. oc,
1, White File
2. Pink City
3. Yellow AppJic8Dl
~. '" ad. .._
ADDRESS
\ .' ViCWl2d.
I PERMIT NO. 0 9. 0 60~
II ZONING,__> I
N.L.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
(Phone) 95J-J. \1- 5503
(Phone) 7f::3- 5~-1 f)OO
(phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing
OAddition OAlteration OUtility Connection
e-Siding OLower Level Finish 0 Fireplace
CODE: []I.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
o Mise:
IT mIVVAB
F HI MRSU
1 2 3 4 5
PROJECf COSTIVALUE sl61 '3 Q 7. 1 ~
(excluding land)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
above-mentioned property and that all construetion will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am awll1'e that the building
official n revoke this permit for' st cause. Furthermore, I h y agree that the city Off'lCial or a designee may enter upon the property to perform needed ipspections.
. O?O~(P(PL1:1 lO/lP/O~
Contractor's License No. Date
x
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1 ";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This Application Becomes Your BuilcIiDg Permit WlIen Approved
Buildiruz Official
Date
$
$
$
$
$
$
$
$
$ vG, . va
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 constitu~ a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, ifany
24 hour notiee for alllnspemons (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372