HomeMy WebLinkAboutBuilding Permit 09-0697
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1b gg.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER ,
(Company Name) {..Li.\(e.l.VcY...xa~ i{'eMo.&-e.Q..~f\~
(Contact Name) Sh:1W\l 1?..t.s €
(Address)
Date Rec' d
I. White File
1, Pink Cily
) Yellow 'Applanl
I PERMIT NO. oq, DcP971
I ZONING <--l I
PID
(Phone)
~~ P!7-7J-fP
(phone) <if>:J f?flf( - 5S~ ~
(Phone) '-'I 3;)f3 - 8Sl:. .
IY\ ~ 65 '-t~D
TYPE OF WORK 0 New Construction ODeck o Porch ~Re.Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
, CODE: OI.R.C. OI.B.C.
Type of ConstlUction:
Occupancy Group: A B
Division:
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
/.=2, 9/~
x
1 ht'feby cenify thai I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that J am the owner ur authorized agent for the
above.menuon rty and that all constnlction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the buildinS
official can r 0 mil for just cause. Furthermore, I hereby agree that Ule city official or a designee may enter upon the property to perform needed mspections.
a04-430<o Ie
"
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
Building Ollicial
Date
Contractor's License No.
9-~ -65
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This IS to cmiry thaI the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ~'Sled. This ducument
when signed by the City Planner constitutcs a temporary Cenillcale of Zoning compliance and allows construction to commence, Before uccupancy, a C~'llificate of Occupancy musl be
issued
Plannins Director
Date Special Conditions. if my
24 hour notice for alllnspeclions (9!12) 447-98!\O. fax (9!12) 447424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372