HomeMy WebLinkAboutShed Permit 08-30
CITY OF PRIOR LAKE~J)l;~RMIT'
TEMPORARY CERTIFICATE ZONING MPLIANCE
AND UTILITY CONNE llUl IT
SHbO
PERMIT NO. 08- ()() 30
I While
Pink
Yellow
File
City
Applicant
(Please type or print and sil:n at bottom)
ADDRESS
/5/53
Q/1K ~/.O CC.~ ('.AIL.
LEGAL DESCRIPTION (office use only)
LOT Z- BLOCK 2- ADDITION 0 t:rK.- RA 0 C~ e;::r
1ST
OWNER
(N ame)
1?ober+ N~k
(G(~ ~~J S-b,
(Phone) y52
~IJ-y li. b / k1^-
-4'kJ-~D9~S
5537 d--
(Address)
16~ c-"
/ 51.0 ()ak
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition DAlteration DUtllIty Connectlon V
CODE: DI.R.C. DI.B.C. ~ISC
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
Date Rec' d
ZONING (office use)
~-I
PIDZS~ 083 ()Zt 0
. -
sffEJJ
ORe-Siding DLower Level rimsh
><
8
o Fireplace
10
PROJECT COST /V ALUE $
(excluding land)
I hl'l"chy certity that I have turnished mformation on this application which is to the hest of my knowledge true and conect. I also certify that I am the owner or authOrized agent for the
ab"vc-menl1oned property and that all CllnstructlOn Will conform to all eXlStmg state anLi local laws and will proceed m accordance with submitted plans I am aware that the buildmg
Iltticial can revoke tillS permit t(Jr Just cause Furthermore. I hereby agree that the Clly official or a deSignee may enter upon the property to pert(lrm necded mspectlons
x
Signature
Contractor's License No
Permit Valuation
Park Support Fee
SAC
Permit Fee
\
Water Meter SizeS/S"; I";
Pressure Reducer
$
$
Plan Check Fee
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee I $
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
-:v /75;:;, I () &.
f I
~,~-\
()
1- i:5/J:L
Ilulldlll!! Uniclal
Date
# $
# $
$
$
# $
# I $
I $
; 0
, ,/
I Rece~'No'I'
I By
(
ThiS IS to certify that the request m the above apphcatlon and Jccompanymg documents IS m accordance with the City Zonmg Ordinance Jnd may proceed as requestcd ThiS document
when signed by thL' CIty Planner conStltutes a temporary Certificate of ZonIng compliance and allows construction to commence Before occupancy, a Certificate ()f Occupancy must be
isslled
Planning Director
Date
24 honr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
Scott County, MN
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e K\O slowJ.
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S~
.1- /" 5;/ <l)
~
(Scott
-"
This drawing is neither a legally recorded map nor a survey and is not
intended to be used as one. This drawing is a compilation of records.
information, and data localed in various city, county, and state offices, and
other sources affecting the area shown, and is to be used for reference
purposes only. Scott County is not responsible for any inaccuracies herein
contained. If discrepancies are found. please contact the Scott County
Surveyors Office.
Map Scale
1 inch = 50 feet
Map Date
7/25/2008
N
W+E
S