HomeMy WebLinkAboutBuilding Permit 09-0101
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
MAR 1 9 2009
File
City
Applicant
~/tJ/
ZONING (office use)
/71 7 4- pfl13)q- Sr:r1VT fr1 en oa vJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
OAdditIon OAlteration OUtility Conne
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
IV V
I M
3 4
A
R
5
I
E
II
F
I
III
H
2
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have tiJfnlshed mformation 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
aboye-mentlOned property and t all~tlon will conform to all eXlStlOg state and local laws and will proceed in accordance with submitted plans I am aware that the buildlOg
official can reyoke thiS permit JU t c lSe Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed IOSpeC110ns
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlll!! UlliClal
Date
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$
By
~:J
ThIS IS to certifY that the request in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner constItutes a temporalY Certificate of ZonlOg compliance and allows construction to commence. Before occupancy, a CertIticate of Occupancy must be
issucd
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