HomeMy WebLinkAboutLawn Irrig. #06-0279 oF r�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
''= a TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �_/ 7 G>fv
,, �- c
�' 's'�� '��' � AND UTILITY CONNECTION PERMIT
U - �j
M�Nxeso'�P i wm�e Fde pERMIT NO . ��
2 Rnk City /�j � U G �
3 Yellow Apphcant �
Please e or rint and si at bottom)
ADDRESS ZONING (o�tice use)
.T���7'�'J' F'�n�,0 � '� '� �DtiJ.
S�� �� EN "� '
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �
(Name) ( on
(Address)
BUII.,DER
(Company Name) W ���L � . , r�C7 . (Phone) � ��. 'f5 Z. � S S
(Contact Name) �� H���� (Phone) S�E
(Address) f7/G ffLE�(�`ln/OE�'L 2�'.�� ����✓ /�/J
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alterat�on ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. '�vlisc. �� ���1A n U/�
��.
Type of Construction: I II III N 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 certify that I have fi�mished mformahon on th�s applicahon which is to the best of my knowledge true and correct [ also cemfy that I am the owner or authonzed agent for the
above-mennoned property and that all conshucuon w�ll conform to all exishng state and local laws and w�ll proceed m accordance with submitted plans. I am aware that the buildmg
official can revoke t permit for �ust cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections
x i�� /��� �� - �
Signature � Conuactor's License No. Date
Permit Valuation �� � � Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; �_ � q $ Z dd() O Q
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 DUE $ Z� O(� , p Q
This Application Bewmes Your Building Permit When Approved Paid Z� U'�• �� V Re t NO. S/ ¢
Date ,S / y �'�i
Bwldm�� Utlicial Date
This is to cert�fy that the request in the above applicanon and aceompanymg documents is m accordance with the City Zunmg Ordmance and may proceed as requcsted. This document
when signed by the Ciry Planner constrtutcs a temporary Cerhficate of Zomng compl�ance and aliows construction to commence Before ocwpancy, a Crmficate of Occupancy must be
issued � —%�����
� �` � �,' S' �� ��
Planning D'uector Date pecial Condtt�ons, �f any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
�� ,, ,,,� p , � � �
,� � , 'k
�� ,
.,�„�:.� L� � .
� ` *�N
� '; a. . . .
��� ` i
d�
�