HomeMy WebLinkAboutShed Permit 07-04
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
PERMIT NO.O 7 - Dooe:{
_/ Date Rec'd
'5i?'(07
(Please type or print and si~n at bottom)
ADDRESS
/b7 bO f~sf~L)r0
"
!tIe 5 tV
ZONING (office use)
12-/
LEGAL DESCRIPTION (ofllce use only)
LOT /0 BLOCK '/ ADDITION
OWNER
(Name)
IY/ I /:AtJ f/ /
107(120
M 5'/-- 6ur0
. D LaL~jerJ
We s'f Aar V! '-;If t/tZ-
J
FdtJ!J.s
PID 2S, 2CJS" ~ 033'(
(Address)
(Phone)
SvJ
~
Cls-" . (/(11)- S 19. -7
~ ,-. I Y I I
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAddition OAlteration o Utility ConnectIon
ORe-Siding OLower Level FinIsh 0 Fireplace
CODE: ~R.C. OI.B.C. o Mise
Type of onstmction: 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
I~x,o' ~.
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlfOlshed mformiltion on this application which IS to the best of my knowledge trut' and correct. I also certIfy that I am the owner or authonzed agent for the
ab<lve-mentlllned property and that all ClmstructUln Will conform to all eXIstmg state and local laws and will proceed m accordance with submllled plans I am dWille that the blllldmg
~tiCldl ~ ;11:s p('r~lt f u~ F~. I hereby agree that the CIty otticial or a deSignee may enter upon the propel1y to perflllm needed "S--7;~ Ie) L
Signature V ~,,~ Contractor's License No. $' Date I '
Permit Valuation ~~ Park Support Fee #
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8", I", $
State Surcharge $ Pressure Reducer $
Penalty I $ Sewer/Water ConnectIOn Fee # $
I $ Water Tower Fee # $
I $
I
! $
I $
Plumbing Permit Fee
Mechanical Permit Fee
Builder's Deposit
:-0
,.--
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
$
This Application Becomes Your Building Permit When Approved
~~
5/2.2/07
Paid
Date
Receipt No.
By
llllildll1g Ulliclal
Date
ThiS IS tll certify that the rl'qul'~.;t 1I1 the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may pnKl'cd ,lS requested ThiS document
whell signed by the City Planner constitutes a temporary Certificate of ZOOlng compliance and allows constructlOI1 to Ct)mmence Before llccupancy, a Certificate of Occupancy must he
isslIed
Planning Director
Date
24 hour notice for all inspections (952) .t.t7-9850. fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any