HomeMy WebLinkAboutZoning (shed) Permit 09-0012CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS }
54 5 S SY�o�" �'rro..i k tJE ?r
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name) L.� v841Pr.r—
LtA k �
(Address) 5455 “b or -
BUILDER
(Company Name)
(Contact Name)
(Address)
1 White File
2 Ptnk City
3 Yellow Applicant
LM .
Date Rec'd
PERMIT NO.0q 00 tZ
ZONING (office use)
PID
(Phone) OS2.— 4/4/5-33c)/
MN 5S312_
(Phone)
(Phone)
TYPE OF WORK El New Construction ['Deck ❑Porch ['Re -Roofing ❑Re -Siding ['Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection
CODE: .R.C. ❑I.B.C.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I MR S U
Division: 1 2 3 4 5
❑ Misc. S jC (2 l 5 eo
PROJECT COST/VALUE $
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I 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 the building
official can revokeis permit for lust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
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
�f
This licati es es our Building Permit en A proved
4- a oq
Building Official Dat
sP 3/0,
Contractor's License No. Date
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
1
1/
J
(ss,,
Receipt No.
By
This is to certify 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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planing Director
3/3-al
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