HomeMy WebLinkAboutSPRINKLER REPAIR 06-0559
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(,./0, (),
I. White File I PERMIT 0 I
2. Pink City N . OfR. OSsq
] Yellow Appliconl . '-
L.. /9 .tee. IC,.O /to.I ,-
pt...
\ Oft.
IT
ZONING (office use)
C3
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Zt5'. 00/. 0 (,,3. ()
OWNER, }.)
(Name) \. ~~ YV--...~
~L~
(Phone) (/\ 1 ~ ~ ~~&8 - 'J C.o I d.-.
:)..
(Address)
/i::;r~
JI
(Phone)
(Phone)
&.' ') /. ') L{~< 'i'{q 9
liT-IrD ~'-
(Company Name) rL/l.A../ ~
(Contact Name) J \
(Address).
TYPE OF WORK 0 New Constnl~on o Deck o Porch o Re.Roofing ORe.Siding
DAddition ~Alteration DUtility Connection 0 Misc.
OLower Level Fimsh
o Fireplace
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
n
F
1
ill IV V A
HIM R
2 3 4 S
B
S U
PROJECT COST IV ALUE $ L(kJo-
~gland)
I h'Teby certify that I have furnished information on this application which is to the best of my Icnowledge b1Ie and correct. I also certify that I am the owner or aUlhoflzcd agent for the
above.menlJoned property and that aU consb1lction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c re oke this permit for just ause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
/7
Contractor's License No.
6-1c{-o~
Date
x
Permit Valuation
Permit Fee
'.:.'-j)(l .-
)~. .
$ "?5.00
s 1'-.
$ .$1)
$
$
$
$
$
Park Support Fee
SAC
TOTAL DUE
# $
# $
$
$
# $
# $
$
$
t;..t3.0f, $
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I Paid
Date
4-t75
U. '/..U&
~.NO
+- /. 'S
,L:}J92S
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 requl'St''<!. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consb1lction to commence. Before occupancy, a C''l1ificate of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (9!i2) 447-98SO. fax (952) 447-424!i
16200 Eagle Creek Avenue Prior Lake, MN 55372