HomeMy WebLinkAboutBuilding (Lawn Irrig.) 03-0739
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
h .~~--3
White
Pink
Yellow
File
City
Applicant
I PERMITNO'O-i'-073Cj
ZONING (office use)
PUP
ADDRESS
~5074-
L3Lt./?J:" HOC7I17:S /12A1L-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID;Z5-~Z.- OO/-{)
OWNER ~'~n: }/Orvl e5 I/~ / - '152 -5"".?c/o
(N ame) (Phone)
(Address) ~/S- 'I) /zP/u'/[5r ~
BUILDER 5AM E--
(Name) (Phone)
(Contact Name) tplZT 6i4SCWIto (Phone) o/Z-2Z/- //ff-S
(Address)
o Misc.
OLower Level Finish
r\<e
o Fireplace
OAddition
OAlteration
OUtility Connection
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
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 certify that I am the owner or
authorized agent for the above-mentioned property and that aU construction will conform to aU existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr erty t perform eeded inspectio
~ ~
x
'PC - /g7!
Contractor's License No.
~
E
Park Support Fee # $
Permit Fee $ # $
Plan Check Fee $ Water Meter 5/8"; I"; z,. If $ 4-e5. (J(J
State Surcharge $ Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
"" $ TOTAL DUE $
1#3/
I
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Plan er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
lo.~-O?
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
The ('enter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
k CLh /LJ k e
.
&,- 5-'3
'BroS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~O?'/ Mm /IZ ..:2t~
Accepted
Accepted With Corrections _1/
0/d3
Denied
tIJ~
Date:
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."