HomeMy WebLinkAboutIrrig. Meters #07-0020 oF PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
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�. I Wh�te Fde pERMIT NO. D7� ��ZQ
2 Pmk City
3 Yellow Applmant
(Please e or rint and si n at bottom)
ADDRESS ZONING (otTice use)
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LEGAL DESCRIPTION (oftice use only)
LOT BLOCK ADDITION PID S. SZ • O
OWNER
(Name) (Phone)
(Address)
BUILDER /��,, , r Q •
(Company Name) /'� c$ O G 1� I'Lz� 1 C�lr (Phone) �l SZ � � S I 6 O
(Contact Name) T�E SP'�'� O C_EtL (Phone) �IZ — �3l03 "' ��/ Z7
(Address) �� D, Qa �gC , 5}{ a('�'�� IM� INi�1.
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Addition ❑Alterauon ❑Utility Connection (C 1 , (�
CODE: ❑I.R.C. �I.B.C. ❑ Misc. �_I �L w�'T�- M C�S �,�
Type of Construction: I II III IV � B pROJECT COST/VALLTE $
Occupancy Group: A B E F H U
(excluding land)
Division: 1 3 4 5
I hereby cerufy that I have hirnished mformanon on this appl�cation whuh �s to the best of my knowledge tnie and correct I also cernfy that I am the owner or author�ud agen[ for the
above-menaoned property and that all consh�uction will conform to a1l exishng state and local laws and will proceed m accordance wrth subm�tted plans I am aware that the buildmg
official can revoke th�s permit for �ust cause Furthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform necded mspections
X
Signature Contractor's License No Date
Permit Valuation Park Support Fee # $
Permit Fee $ �� � �„� $ ?SO , O �
Plan Check Fee $ Water Meter '— �$ 3 e� � 3 O
State Surcharge $ Pressure Reducer .�_ t�" $ ZZ G� Z.3
Penalty $
Plumbing Permit Fee $ � � G � � Z Z
'i�
Mechanical Permit Fee $ � � L. PoaT M�1.1 $ Z�O •�O
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE •D /, �� O $ � .�
This Application Becomes Your Building Perntit When Approved Paid 9, , ReCei t NO. 2. 3
� � Date �„o o B
.
Buddina Ufticial � ' Date�
This is to certify that the requrst m the above appLcanon and accompanymg documents is m accordance with the Ciry Zonmg Ordmance and may proceed as requested. Th�s document
when signed by the Gry Planner constimtes a temporary Certificate of Zoning compl�ance and al(ows consrruct�on to commence Before occupancy, a Ccinficate of Occupancy must be
�ssued
Plarming Director Date Special Conditions, if any .
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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