HomeMy WebLinkAboutBuilding Permit 09-0177
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1--. 2rof
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 1.0177
(Please
ADDRESS
ZONING (office use)
It{
,rl.tkl}
1/,' e fA,)
J<d,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~I-
(Phone)
(Phone)
(/(
0~1
:J..t1 cr 51.7 e'
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
This Application Becomes Your Building Permit When Approved
Contractor's License No.
I hereby certifY that I have
above.mentloned properl)j
official can revoke thIS p
x
Gas Fireplace Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Plan Check Fee
Water Tower Fee
#
#
Builder's Deposit
-
[)at~
Buildlllg Ofticial
ThIS IS to certifY that the request In the above applicatlon and accompanYIng documents IS in accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows constructlon to commence. Before occupancy, a Certlticate 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