HomeMy WebLinkAboutLawn Irrigation Meter 06-1016
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
1 Yellow
File
City
Applicant
PERMIT NO. (k. /0/ (p
(Please type or print and si~ at bottom)
ADDRESS
382iP
~ fJ /J 6JU2..tf
~OcrG feL).
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Lr. 3'i5", 01 Z. 0
OWNER
(Name)
(Phone)
(Address)
,I )3UILDER
~Company Name) W't!"Ar~1 ~/u~....~
~<rcontact Name) Fre-l H~..-' -
JAddreSS) 1'710- /;/...........' ~ K~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditIon OAlteration o Utility Connection
Date Rec' d
II. 8.()(P
ZONING (office use)
/!'J
XhOne) ~ 51- ~S.;J. -IS-. S-
(Phone)
/J1-; - 5"5 It? /
E______
.;
ORe-Siding OLower Level FinIsh 0 Fireplace
e. (I LA-W~ 1/UUCf. n(-.::7b1?
I hereby ccrtity that I have turnlshed mtilrmatlOn on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authollze,l agent tiJr the
above-mentIOned property and that all constructIOn wlll conform to all eXIStmg state and local laws and WIll proceed in accordance with submItted plans I am aware that the buildmg
,)tfl~tlllS pelmlt to! Just cause Fll1thelmOle, I hereby agree that the City offinal or a deSignee may enter upon the propelty to pertorm needed mspectllll1S
X ~ Co,""'"'" L","" No I /- ~C
. . (\ I ,r$
Permtt ValuatIOn Park Support Fee # (I
I $ SAC # $
I $ Water Meter Size 5/8"; I"; Z 'I $
I $ Pressure Reducer $
I $ Sewer/Water Connection Fee # ! $
I $ 40 00 Water Tower Fee # $
$ Builder's Deposit $
$ Other $
$ TOTAL DUE $
CODE: OLR.C. OLB.C. 'f. Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
This Application Becomes Your Building Permit When Approved
_690. du
II. f3J)"
/}
i ~~tt No.
10'
Paid
Date
Buildlllg Ufflclal
Date
J
I
(050. O() I
I
I
)
I
I
(090.00 I
I
I
SZ('~9
r
TIllS IS to certify that the request m the above apphcatlon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. TIllS d"cument
whm signed by the City Planner conslilutes a temporary CertIficate of Zonmg comphance and allows constructIOn to commence Before occupancy, a Certlticate "r Occupancy must be
isslIcd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any