HomeMy WebLinkAboutZoning Permit (fence) 10-0043 oF PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE `� �� �
� , : � � � � AND UTILITY CONNECTION PERMIT ` .
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M��'NES��P � Wn,�e File pERMIT NO. �¢,3
2 Pmk City
3 Yellow Applicant
Please e or rint and si at bottom
ADDRESS ZOI�TING (oft'ice use)
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LEGAL DESCRIPTION (oflf'ice use only)
LOT� BLOCK ADDITION PID
O a WNER �C�l���� �lU C� � P N (,/ � 1 '�" (Phone) � � o� ' ��� "' � �O
(Address) ,j 1 Z j0 IIJ 1.fZC �
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level F�msh ❑ F�replace
❑Add�t�on ❑Alteranon ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. �Misc. 7 / ���lv �N/�—�
Type of Construction: I II III IV V A B pROJECT COST/VALiTE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby ceruty that I have him�shed mformahon on th�s apphcation which is to the best of my knowledge true and correct I also cerufy that I am the own�r or authorized agent for the
above-mentioned property and [hat all construcrion will conform t 11 ex�sting stare and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
uffic�al revoke this peim� for�ust c ise Fu er e, I hereby ee that the city official or a designee may enter upon the property to perform needed mspecnons
� X � a C/
' nature Contractor's License No. D e
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLTE $
This licat' n B mes Your Building Pernut When Approved Paid ReCel t No.
I �. Z7 �� Date s
ildm�� Ofticial Date
is u to certify that the requcst m the above appLcahon and accompanymg documents �s m accordance with the C�ty Zonmg Ordmance and may proceeA as requested This document
when signed by the Gty Planner constrtutcs a temporary Certificate of Zonmg compliance and allows construcnon to commence. Before occupancy, a Ccruficate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
....„...�....
La�d Surveyo�s � •� �� �
Plannen � � •
Yalle Fn ine¢r�ng Co., Inc. �
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Q (612) 447-2570 Suite 204, Waters �dge Office Plax�
SKETCH PREPARED 6885 Boudi� Street N .E.
FOR : Prior lake, Mi»nesota 55372
BANITT CONST.
7721 iN. 136TH ST.
SA►1IA.��.!�, MN . 5537�
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� � Qescription
� Lat 3, 8lock 4, SHANGRI - LA, Scott Counry, Minnesota.
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' �1�Yy �re��� t�t �,H.� �J1
� plan, or report wos preporQd by
me or under my direct supervision
a�d that I am o duly Registered
Land Swtisycr under the �aws of
the Sbte of Min ssflt .
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SGA�.E tN FEET Dote ' Re� 1+1� IOt83
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