HomeMy WebLinkAboutBuilding Permit 09-0097
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
While File
Pink City
Yellow Applicant
PIl6I9SI1 Nt /YJ e;rJ-D 0 W
/71 0 Z-
MAR 1 9 2009
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
PAT FRIEDGES CONSTR.
BUILDER
(Company Name)_ 612-490-8698
21731 BENTLEY CIRCLE
JORDAN, MINNESOTA 55352
(Phone)
(Phone)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
DAddition DAlteration DUtility Conne
o Mise.
-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
A
R
5
B
S U
III
H
2
IV
I
3
V
M
4
I
E
II
F
I
PROJECT COST /V ALUE
{excluding land}
$
I hereby certify that 1 have hlrnlshed mformatllln on this applicatIOn which is to the best of my knowledge true and ClllTect. I also certify that I am the owner or authonz~d agent for the
above-m~ntlOned prop~rry and that a nstru will c rm to all eX1Sl1ng state and local laws and WIll proceed in accordance with submllted plans I am aware that the buildmg
official can revoke this permIt for JUS cat e urther e, I hereby agree that the Clry official or a deSignee may enter upon the propelty to perform needed mspectlOns
x
Park Support Fee
SAC
Contractor's License No.
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Water Tower Fee
Builder's Deposit
Other
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection 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
8uildllH! Umclal
Date
By
#
#
#
#
Date
$
$
$
$
$
$
$
$
$
This IS to certify that the request in the above applicatlOo and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested Tlus document
when signed by the City Planner Cllnstltutes a temporary Certif1cat~ of Zonmg compliance and allows constructIon to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any