HomeMy WebLinkAboutZoning (Patio) Permit 09-0027
CITY OF PRIOR LAKE BEl ERMIT,
TEMPORARY CERTIFICATE 0 ZONING OMPLIANCE
AND UTILITY CONNE RMIT
Date Rec' d
/. 10, OJ
White File
Pink City
Yellow Applicant
PERMIT NO. 0
at bottom)
ADDRESS
/54-/5
eRA-A/ e {!,-OU/G:T
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.6. +12...0(3 n
OWNER
(N ame)
73/V/lN B/I/C8EJe.
(Phone)
f.61Z-. 590. 300S-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c. )('MiSC.
Type of Constnlction: 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
17-1'710 (;P/1V~)
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke this perma for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspecl1ons.
x
Park Support Fee
SAC
#
#
Contractor's License No.
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
s Your Building Pennit When Approved
ThiS IS t 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 Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Condil1ons, if any