HomeMy WebLinkAboutBuilding Permit 09-0809
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .
AND UTILITY CONNECTION PERMIT
Date Rec' d
/6. ? 01
I. White File
2. Pink Cily
) Yellow "Applicant
I PERMIT NO. Oq, 0 ~O '1/
I ZONlNG",,",_l I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~
(Name) r \ ~-\-6p"'--e.r
l., \ ~6-
(Address)
(Phone)
?S;l. ft.f7-3Jf..S-
B~D~ ,
(Company Name) {..Li\4e.l.i>cr..A~ 1{eM~-eQ..I.f\~
(Contact Name) ~w."\ ~s €
(Address)
.....
(Phone) C}5:Jfl:~f(,S-S~~
(Phone) &,/ 3~ - 8~t. .
IJ\ ~ 5S '{;to
TYPE OF WORK 0 New Construction DDeck o Porch ltrRe.Roofing ORe.Siding OLower Level Finish 0 Fireplace
DAddition OAlteration DUtility Conne~~ 0 Misc.
. CODE: OJ.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
IT
F
1
ill IV V A
HIM R
2 3 4 5
~ .0
/.,:, 7'- -
B
S U
PROJECT COST /V ALUE $
(excluding land)
x
I ht'feby certify thai J 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 thc
above-mentioned propertY and Ihat aU construction will conform 10 all cxisting Slate and local laws and will proceed in accordance with submlllcd plans. J am aware Ihalthc building
official can rev this permit for just ca e. Furthermore, I hereby agree lhal the city official or a designee may enter upon Ihe property to perform necdcd inspections.
aO+430<o <e '7-;;9-ocr
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 Pennit When Approved
Buildin!! Ofliciol
Dote
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 15 to certify thatthc request in the above application and accompanyina documents is in accordance with the City Zonina Ordinance and may proceed as requ~"Stcd. 1 his dllCumcnt
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ct'rtificate uf Occupancy musI be
issued
Planning Director .
Date Special Conditions, if any
24 hour notice for alllnspecllons (952) 447-9850, fax (952) 447-424!1i
16200 Eagle Creek Avenue Prior Lake, MN 55372