HomeMy WebLinkAboutZoning Permit #05-08
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Av SE
~. ~i~i~e ~:;y I PERMIT NO.~~~
3 Yellow Applicant '-"""'") ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID
BLOCK
OWNER
(Name)
Chrl..slel1SeM
~lA..1 f3 .
(Address)
Nt fSdL-iflf 7- IS.If-
(Phone) W: rt.s.;z.-~7- 8' 8'l'i/' J( tP." I
1J1,'dwesf hfLt::€--
(Phone) ~5/- 'fS(-~.#.tll
(Phone) 7'-SJ. -?fLf - 9/S 7
N $SO r
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing
OAddition o Alteration DUtility Connection
ORe-Siding DLower Level Finish 0 Fireplace
t( I eJ~ ~ -knee
CODE: OI.R.c. OLB.C. ~sc.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
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-men ed 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
:flcial c r voke th:;g:it fo st 1 ermore, . by agree that the city official or a designee may enter upon the property to perform neS,/'l6n(OS
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
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 conslltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
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
Scott County
Page 1 of 1
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DATE
ACCEPTED WITH CORRECTlONSASINOfa)~ "~;
o NOT ACCEPTED-CORRECT & RESUBMIT~~ :lO
ese comma are or your on.
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.
May 16, 2005
http://www.co.scott.mn.us/serv1et/com.esri.esrimap.Esrimap ?ServiceN ame=overview &C1ient V ers... 5/16/2005
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