HomeMy WebLinkAboutBuilding Permit 09-0815
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
3 Yellow
~~~Iicanl 'PERMIT NO'7" & (~ I
at bottom)
~)' }JL(~s7
#f./
23
;: L I/,k
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Phone)
'1'5'2- 2)2-3377"
I hereby certifY that I have lllrnished mformation on this application 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-mentIOned property and that all constructi will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
olliciaJ can revoke this per or Just cause ermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform necded mspectlOns.
cJ<:/gl
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction DDeck o Porch -Roofing
OAlteration DUtility Connection
ORe-Siding OLower Level Finish
k OAddition
CODE: I.R.C. OI.B.C.
Type of nstruction: I
Occupancy Group: A B E
Division:
o Mise.
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST/VALUE $
(excluding land)
x
2tP6~ ?Sy?
Contractor's tce6Se No.
Permit Valuation
Permit Fee
Park Support Fee
SAC
#
#
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
.~)
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
1if;(1
I Receipt No_ '7!0/0
By fffI+.
ZONING (ollice use)
o Fireplace
Date
$
$
$
$
$
$
$
$
$
ThIS IS to certifY that the request m the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance 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 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