HomeMy WebLinkAbout1" METER FOR LAWN IRRIG. 07-0659
CITY OF PRIOR LAKE BUILDING PERMIT, , Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ( ~\\G {} 3 2007
(Please type or print and sij1;n at bottom)
ADDRESS
I White
Pink
\'ellov.'
File
llty
Applicant
PERM'8 ~O. 07;15((1 ~11
.
/7 / '7lr? .:;:77.: /V C 6'11..-1 /-tfL
U /c/t!,LC:
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
C't..f77.AJ I L3
PID 2-S- 4-t.-6.lX3(.. ()
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
/zz_70
I
(Phone)
f.JL If' /"'1()t../ 171' Pi.- LIH 13/ N((1
(Phone)
(Phone)
,51: /II el-l'l'tEl-
ZONING (office use)
PO I)
7t...S 4- '7 {'. t... I (} (I
553/0
TYPE OF WORK 0 l'<ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditIon OAlteration OUtility ConnectIOn
43 reA;?
Alt!
9iMiSC ~lC: T61C~ -- Ifi/1/ N I/GK,f 7
CODE: OLR.C. OLB.C. n ~
Type of Constnlction: 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
.5/
I herL'by fertity that l have tl.Jrmshcd mformatlOn on this application which IS to the hest of my knowledge true and correct. I also certify that 1 am the owner or iluttlllrIZcd agent for the
JbllVC-mentlllned property and that all Clmstructlon Will cont(lIm to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
()fticial can revoke thiS permit for Just cause Furthermore. 1 hereby agrct' that the CIty official or a desIgnee may enter upon the property to perform needed mspcctllH1S
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~-
//
R~pt No_ 5"<fJ 1.'1
Date - ,-, w\ By 1/
~l I:'JULel ,,! ,;n~"fu """,>c,~, p",",d', ","e,"" TO" '"mmem
~"em~ oem, "we,,,",, .e C,""k.>C,"' O""p.m,, mo" ~
Signature
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee #
SAC #
Water Meter Size 5/8"0
Pressure Reducer ~
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
J I
,Bu;ldin, P'B ~;""d
I Date '
Paid
A".,--r---- -
~..)...'
ThIS IS tD certIfy that the request In the abllve apphcatlOn and accompanYll1g documents IS
whell signed by the City Planner constItutes a tcmporaty Certificate uf Zonmg compliance
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Date
$
$
$ 4-55. () 0
$
$
$
$
I
I $
$ 1-55.0CI
Special Conditions. if any