HomeMy WebLinkAboutBuilding Permit #09-0110 � �C�����
O F PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'
,� ���� �� a� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �A� �� 7 ���
� ����� � ��� � AND UTILITY CONNECTION PERMIT �
c.> �� � ��� ae �, By
�'�Nxeso�P I. Whi[e File pERMIT NO.
2. Pink City O // �
3 Yetlow Applicant � ��
(Please e or rint and si at bottom
ADDRESS ,_,_ ZONING (ot�ice use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
PAT FRIEDGES CONSTR.
BUII.,DER 612-490-8698 (Phone)
(Company Name)_
(contact Ivame) _ 21731 BENTLEY CIRCLE (Phone)
(Address) JORDAN, MINNESOTA 55352
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Conn tion
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III N V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have fi�rnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorizcd agent for the
above-menuoned and that all consnuction 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 t's p it for just cause. Furth ore, I hereby agree that the city official or a designee may enter upon the ptoperty to perform necded inspections.
X � `. , ��G
S4gnaf�fe Conuactor's License No. *'��
Permit Valuation Park Support Fee # $
Permit Fee SAC # $
Plan Check Fee Water Meter Size 5/8"; 1"; $
State Surchar $ Pressure Reducer $
Penalty Sewer/Water Connection Fee # $
Plumbing Per ee � Water Tower Fee # $
Mechanical Permit Builder's Deposit $
Sewer & Water Permit $ Other $
Gas Fireplace Permit Fee $ T $ —
This Application Becomes Your Building Pernrit When Approved p' ReCel o.
B S �
Buildim� Ofticial D�te
By
This is to certify that the request in the above application and accompanying documents is in accordance with the Ciry Zonmg r mance and may proceed as requcsted. This document
when signed by the City Planner consututes a temporary Ceitificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificatc of Occupancy must be
issued.
Planning Director Date Special Condi6ons, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Sueet Prior Lake, MN 55372
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