HomeMy WebLinkAboutBuilding Permit 09-0108
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIAN
AND UTILITY CONNECTION PERMIT
File
City
Applicant
?1fe-rlSRNI neYtOdvJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
I BUILDER PAT FRIEDGES CONSTR.
(Company NameL 612-490-8698
21731 BENTLEY CIRCLE
JORDAN, MINNESOTA 55352
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch
OAddition OAlteration OUtiJity Conn
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certity that I have hIrnished information on this application which is to the best of my knowledge true and correct. I also certIty that I am the owner or auth'lrlzed agent for the
abllve-mentlOned property and that, onst.lctlo ill conform to all eXISting state and local laws and will proceed in accordance with submllled plans I am aware that the building
"tlicial can revoke th" permIt ti)r Jt, ca, F ermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed mspectHlns
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 Pennit When Approved
Buildll1!! Ol1icial
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 $
$
ThIs" to certity that the request m the abuye applicatIon and accompanymg documents is m accordance with the City Zoning Or' manCe and may proceed as requested. This document
when signed by the City Planner constItutes a temporary Certificate of Zoning 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