HomeMy WebLinkAboutBuilding Permit 09-0103
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CITY OF PRIOR LAKE BUILDING PERMIT, . Date Rec'
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE MAR 1 9 2009
AND UTILITY CONNECTION PERMIT
By
(Please
ADDRESS
/1/8/
bottom)
/7/85
f/lte,.q5,q NT
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER PAT FRIEDGES CONSTR.
(Company Name)_ 612-490-8698
(Contact Name) 21731 BENTLEY CIRCLE
(Address) JORDAN, MINNESOTA 55352
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtility Conne
e-Roofing
IOn
ORe-Siding
OLower Level Finish
o Fireplace
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 V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have hlrmshed informatIOn 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
above-mentIOned property and that all constructIon will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building
official can revoke this permIt for Just cau U' ore, I hereby agree that the CIty official or a deSIgnee may enter upon the propeIty to perform needed inSpectiOns
Signa re
Contractor's License No.
Date
x
Permit Valuation
Park Support Fee
#
#
Sewer/Water Connection Fee
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
$
Permit Fee
Plan Check Fee
$
$
$
$
$
$
$
$
SAC
Water Meter Size 5/8"; 1";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer & Water Permit Fee
Builder's Deposit
Other
BuIldl11!! Onicial
Date
By
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
ThiS IS to certify that thc request In the abuve applicatIOn and accompanymg documents is in accordance With the City Zoning Ordinance and may procecd as requcsted ThIS ducument
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy mllst be
isslled
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