HomeMy WebLinkAboutPatio Permit 11-0037 04 ?Rio CITY OF PRIOR • ; SILDIN ' RMIT, Date Rec'd
, TEMPORARY CERTIFICA a OF ZONING C 0 MPLIANCE
x AND UTILITY CON �= ' " :� IT
to P 77 o
44uesot° I Wane Fite
1 YTit Cur PERMIT NO. / / 3 7
Yellow Appliean •
(Please type or print and sign at bottom)
ADDRESS ZONING (office usc)
/ � / e a / 7 -9sC,4 M V .
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER w -I - It/ LCA//26t/C-7e. (Phone) i >Z- 226 - 69
(Address) " /1Z / 7 7XC/ 4I sg.
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑ReSiding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration °Utility Connection /
CODE: DLR.C. ❑LB.C. tXMisc. _Pf % 0 — / 2-
Type of Construction: I II MTV V AB ��� 111 PROJECT COST /VALUE S
Occupancy Group: A B E F H I M R S U (excluding land
Division: 1 2 3 4 5 ■
1 hereby certify that l haw famished information on this application which is to the best of my knowledge true and correct. I also certify that lam the owner to authorized agent for the
above - mentioned pr.. •. and that all cnnstructio i w conform to all existing state and local laws and will proceed in accordance with submitted plans. t am aware that the building
official can reoke ,i . • )uu w X - �.. , I hereby agree that the city official or a designee may enter upon the property to perform needed mspscnsns.
% z — ,�i. 7--2C-- //
tigVinge ' Contractor's License No. Date
Permit Valuation Park Support Fee # S
Permit Fee S SAC # $
Plan Check Fee $ - Water Meter Size 5/8 "; 1 ", $
State Surcharge S Pressure Reducer S
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit i 5
Sewer & Water Permit Fee $ Other S
Gas Fireplace Permit Fee S TOTAL DUE S
0
ThisAppli. •'` 4 tnes Your BuiIding Permit When Approved Paid Receipt No.
I& `VA .1( [...paid
By
. ",� n_ Official Date
Thu a to ecru r that the request in the above application and accompanying documents is in accordance weh the City Zoning Ordinance and may proceed as requested. This document
when signed i the City Planner consutum a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cendiicate of Occupancy must be
issued.
Planning Director Date Special Conditions. it any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Valley •
Engineenng Co., Inc.
(612) 447-2570 suit() 204. Waters Edge Office
6885 Houdin Street N.E
SKETCH PREPARED FOR: Prior Lake. Minnesota 563
JOHN MAHONEY
r7276 MURPHY LAKE BLVD.
PRIOR LAKE MN, 55372 . 'TY ()!: PRIOR i.j.....l
i ! _ ..Jt ::',' til:is site plan is a:ow ate to
ly kn .—,.!erinn and the City of Prinr Lake is issu ,
this permit based ba the informafon I have ,iut ;mile J.
■ take f•Jil responsibility for any inaccuracies en this
and I a:0,e that I are responsible for i'lccating
any structures that may be 1.7c,atA incrosisca with
o
The regLir 'lents .. II) ' 4 ( 6 fling Orciinaacs.
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• • Own - r Date
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DESCRI PTI ON :
Lot 9, T3lock 6, BROC)KSVILLE: HILLS SIXTH ADDITION, Scott: County, Minnesota,
according to the recorded plat. thereof .
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