HomeMy WebLinkAboutBuilding Permit 09-0105
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
~ ~ @' ~ 0 W [E ill
Date Rec
MAR 1 9 2009 ~!
File
City
Applicant
By
PERMIT NO. 09. IO.sl
I White
Pink
Yellow
f?M3}4- Jfl /VI /'7t?fV 0 W
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
21731 BENTLEY CIRCLE
JORDAN, MINNESOTA 55352
(Phone)
(Phone)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction DDeck DPorch
DAdditIon OAlteration OUtility Conne
ORe-Siding
DLower Level Finish
o Fireplace
e-Roofing
IOn
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
B
S
IV V
I M
3 4
A
R
5
III
H
2
I
E
II
F
I
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have furnished InformatIon on this application which IS to the best of my knowledge true and correct. I also certlty that I am the owner or authoIlzed agent for the
above. mentIOned property and that al nstlJJ.':llOn w orm to all eXistIng state and local laws and Will proceed in accordance with submitted plans I am aware that the buildmg
ntlicial can revoke thIS permit for Just au . Fur ore, I hereby agree that the City official or a deSignee may enter upon the property to pert(Jrm needed InSpectlllns
x
Contractor's License No.
Si ature
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
Builder's Deposit
Other
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower 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
Buildln~ Omclal
Date
Date
$
$
$
$
$
$
$
$
$
By
ThiS IS to certify that the request in the above application and accompanyrng 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 Zonmg compliance and allows construction to commence. Before occupancy, a Certltkatc of Occupancy mllst be
lSSlICd
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