HomeMy WebLinkAboutShed Permit 07-05
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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File
City
Applicant
I PERMIT NO. 07 -05'
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT -;LOCK ~ ADDITION .suN
PID '2)"-/72- of?-o
OWNER
(N ame) G-a. ~ lJ
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(Address) 3';11
~ L(I.\k'e
(Phone) q 5':J - flSS -10 I.j (;
2
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
ORe-Siding OLower Level FinIsh 0 Fireplace
/0/)(101 SI-!6()
CODE: OI.R.C. OI.B.C. J. 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)
I hereby certify that l have hlfnIshed Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or iluthof!zed agent for the
ab<lve-menl1oned pmpnty and that all nJOstructlOn will confl)rm to all eXlstmg statc and local laws and Will proceed in accordance with submllted plans I am aware that the bulldmg
Ilfticia can revoke this per t fOI 't CJuse Furthermore, I hereby agree that the Clty official or a designee may enter upon the propeJty to pert()rm needed lI1Spectlons
x
Contractor's License No.
Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechat11cal Permit Fee
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
Receipt No.
By
07
ThiS IS to certlty that the requl'st 111 the above applicatIOn and accompanYlIlg documents is 10 accordance with the City Zoning Ordinance and may procecd as requcsted ThiS document
when signed by the CIty Planner constItutes a temporary Certificate of ZOnIng cumpliance and allows construction to commence. Befure occupancy, a Certificate of Occupancy must be
issllcd
Planning Director
Special Conditions. if any
Date
24 honr noticr for all insprctions (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372