HomeMy WebLinkAboutZoning Permit 05-0001CITY OF PRIOR LAKE B-FERMIT, Date Rec'd
TEMPORARY CERTIFICATE F ZONING CO LIANCE f , 2 9 6i
AND UTILITY CONN T
(Please type or print and sign at bottom)
ADDRESS
%49C/4- G'C,Le-z) j7cO71C_
LEGAL DESCRIPTION (office use only)
LOT BLOCK / ADDITION ,//t /ECG' %tic-
OWNER
(Name)
(Address)
5 a `/ Lz l L'ci-L 4--
I White File
2 Pink City
3 Yellow Applicant
PERMIT NO. 05: 0/
ZONING (office use)
PID Z6i .3G- Z. , U a-', 0
(Phone) �_ - 3.15 / �� (e)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
•
TYPE OF WORK ❑ New Construction ['Deck Porch ❑Re -Roofing [Me -Siding ['Lower Level Finish ❑ Fireplace
EAddition ['Alteration❑ tiliry Connection ❑ Misc.
CODE: I.R.C.❑❑LB.C. PROJECT COST/VALUE $
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
I hereby certify that 1 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 all construction 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 re )ke this permi ust cause Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspectionss
X
/ Signature Contractor's License No.
Permit Valuation #
Permit Fee $ #
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
$
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee J $
Budding Ohticial
our Building Permit
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid j Receipt No.
Date I By
Date
S
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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
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A-1D FILL
CITY OF I O R LAKE
BUILDIN -% c IT
INSPECTOR _
DATF 4 I Q '� PERMIT NO.
O ACCEPTED AS SUBMITTED
ACCEPTED WITH CORRECTIONS AS NOTED
0 NOT ACCEPTED -CORRECT & RESUBMIT -
These comments are for your information. All work shall be done
in full compliance with all applicable building & zoning code re-
quirements including items not specifically noted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES.
SH IL,IGLE S -- TYPE. OF
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-{—ROOF -PITCH
STUD SIZE r 5PACIt.JG
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--�—SIDING - SILE TYPE
Tom Of SLABS TO
RO55 SECTION OF DETACHES CDARAC"�E