HomeMy WebLinkAboutBldg (lawn irrig. meter) 07-0729
Date ~ec \}
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
ADDRESS
ft;. C7
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. {) ( -12..1,
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ZONING (office use)
.3 81~~
S'Tf1770/'J PLA(~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Jc rt-::e.<.:S P l0) D 3 ICLJ
PID Z ':. -. -1--t. f. t4I 0
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
GENZ.
K-,/ r1
ICAI /1 AI
,
(Address)
ZZ-c.' 0 p.l. /-flAl'!
/3
J
(Phone)
j;-:>t~/'L~ee
(Phone)
(Phone)
S5Jl}
74'7,/oc(\
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiJity ConnectIon
CODE: DI.R.C. DI.B.C. )(MiSC. JVl[ 76ft.. ff)A:... LA1VAl / IC?-I<-'f t?; .
,
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have furnished mformatllln on this applical10n which IS to the best llf my knowledge true and correct I also certlly that I am the owner or allthollzed agent fur the
above,mentlllned property and that all constrllctllln Will confllrm to all eXlstmg slate and Illcal laws and will proceed m accordance with submitted plans. I am aware thaI the buIldmg
official can revoke thiS permit fur JlIst cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propeI1y to perform needed mspectlOI1S
x
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permtt F1 $
/ / , /
Trn'7JJItL~~ng ""3 i: 2;"
. Huildlllg UI'licial -~- I Date'
Contractor's License No. Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I", 1-" $ B5D.OO
I Pressure Reducer $
I Sewer/Water ConnectIOn Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE 'i I $ ~SO.OO
I ,/
Paid 867), (fl..J Rectf(pt No, .::.j 4':::78
I Date BJ....<..; I By.1-.
f)
'-
Thls IS tn certify that the request 111 the above applicatlOn and accompanymg documents is III accordance with the City Zoning Ordin,lnce and may pruceed as requested ThiS dl)(Umcnt
when signed by the CIty Pt1l1nef constltLltes a temporary Certificate uf Zonmg compliance and allows construction fl) commence Befure occupancy, a Certificate tlf Occupancy mllst be
issued
Planning Director
Date
24 hOllr notice for all inspections (9:;2) 447-9!l:;O, fax (9:;2) 447-424:;
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any