HomeMy WebLinkAboutZoning Permit 06-0007CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White File
2 Pink C¢o
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
/ y 75 e 4-1,/L ;WAIT-4_
LEGAL DESCRIPTION (office use only)
PERMIT NO.
LOT BLOCK ADDITION PID
OWNER
(Name) 7.Lf - S��fG�tl�/Git
(Address)
Date Rec'd
¢,/7v6
() G% .oco7
ZONING (office use)
(Phone) jI2 7'yd - � /0
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re -Roofing [Me -Siding ['Lower Level Finish ❑ Fireplace
❑Addition EAlteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C.
Type of Construction: 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
isc
PROJECT COST/VALUE $
(excluding land)
1 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 -mentioned propcity and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans 1 am aware that the building
official can revoke this permit for lust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
•
X
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official Date
Contractor's License No.
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
Date
/7-cG
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 iequestcd 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 he
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-985(1, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
SURVEY PREPARED FOR:
MIKE SHERBER
14758 MAPLE TRAIL
PRIOR LAKE , MN. 55372
HOUSE
940.
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940.1
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Valley Surveying Co:, PA.
SUITE I20-C , 16670 FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
PRIOR LAKE , MINNESOTA 55372
TELEPHONE (6I2) 447 - 2570.,:•
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