HomeMy WebLinkAboutZoning Permit 04-03 (10 x 12 Metal Building)CITY OF PRIOR LAKE
TEMPORARY CERTIFICATE KF ZONING CO
AND UTILITY CONNEC'1'IUIN
(Please type or print and sign at bottom)
7ADDREss
'j/9 Co !or c9do
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
St se
I. White File
2. Pink City
3 Yellow Applicant
'A + IT, Date Rec'd
ITPLIANCE /a/fov
i
PERMIT NO. 0 L.,
I►
PID
ZONING (of5ce use)
I�
I
I
i
I`
) (aWNERC `7e4in 4 OS IV b'G /! %/Q' .V S i 1leR (Phone (9 6 -A)'W 4' 7_ 4 Ai i,1 s'
( ) 41sj� cos. ol<.�#4 co Sr...4—
Address �, ', s st.la.i - ld /i o/l. A 4 �Le ,Pl, S S 3 7'
t i,
BLALDER h i(Company Name) S4 4'/fS /%%r�4 !4v/v40W6 %)1 a-, (Phone:)``
(Contact Name) (Phone) L
1 it
It i
1 i s
TYPE OF WORK ❑ New Construction Deck ['Porch [Me -Roofing DRe-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ['Utility Connection 0 Misc.
CODE: ❑I.R.C. ❑I.B.C. PROJECT COST/;ALUE $ IL i!Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: ABE F HI MR S U
Division: 1 2 3 4 5
IL i!
(Address)
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge tnie and correct. I also certify that 1 am the owner or authorized agent for the
above -mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that then uilding
lkofficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x, A
I if 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
This is to certi
when s'- ed b
issue . .
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
Receipt No.
By
Date
I
that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
I(t
m.�
Planning Director
I D i gj / O__/_ 1•10/ Zri ge) 4ia
1 Date 1 )\ Speciif'Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Scott County
Page 1 of
J
45710
4570
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 located 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
discrepeancies are found, please contact the Scott
County Surveyors Office.
4599
croft 5
COLORADO ST SE
.L1
—3 t
Li
October 21, 2004
http://www.co.scott.mn.us/servlet/com.esri.esrimap.Esrimap?ServiceNameiverview&Cl... 10/21/200 1