HomeMy WebLinkAboutBuilding Permit 09-0106
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~@~ow~w
WJ MAR f~t70~~c'W
File
City
Applicant
By
I PERMIT NO. 09.
10&
] White
Pink
J Yellow
Pfl6FtS/ttvt /VJerTOoW
/7/07
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 ODeck OPorch
DAddition DAlteration OUtility Conn
ORe-Siding
OLower Level Finish
o Fireplace
e-Roofing
tlon
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
III
H
2
IV V
I M
3 4
A
R
5
B
S
I
E
II
F
I
u
PROJECT COST /V ALUE
(exduding land)
x
Contractor's License No.
$
I hereby certify that I have turnIshed mfor atlOn on this applic n which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-menl1oned property and that all c truct Will orm to all eXlsl1ng statc and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke thiS permit for Just a s rther reo I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectIons
Sig ature
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
T
~
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
BuildllH! Official
Date
Date
$
$
$
$
$
$
$
$
$
By
ThiS IS to certify that the request in the above application and accompanymg documents is m accordance wTihrhe City loning Ordinance and may proceed as requested ThiS document
when signed by the City Planner CllnStltutes a temporary Certificate of Zomng compliance and allows constructIon to commence. Before occupancy, a Certlticate 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