HomeMy WebLinkAboutBuilding Permit 12.0013 Shed ' A Prt∎ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .
/ AND UTILITY CONNECTION PERMIT �" 2 C ) " / Z._
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4.44'NESdit' I. White File
2 Pink City PERMIT NO. /2 .
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3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
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1k( j J t aO ( Phone ) �� I �� C ' 1
(Address)
1 BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ['Utility Connection L 1
CODE: ❑LR.C. ❑LB.C.
Misc. 2- pN i' (re / TK I: �j /
Type of Construction: I II ]II IV V AB PROJECT COST /VALUE $ X
Occupancy Group: A B E F HI MR S U
(excluding land)
Division: 1 2 3 4 5 1
1 hereby certify that 1 have furnished information on this application which 0 to the best of my knowledge tale and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c n revoke this permit for just au Furthe or , I hereby agree that the city official or a designee may enter upon the property to perform needed ins •ctions.
License No. Dale
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 DUE t
This Applicatio comes Your Building Permit When Approved p ' • Recei. in o.
t A ,1z Date By
Buil _ fticial Date
This is to certify t at 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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate 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
LOT SURI Y5 COMPANY, INC. INVOICE 3301,
LAND SURYBYORS SCALE 20
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RECESrERED UNDER LAWS OF STATE O! bUNNESOTA u Denotes . iron Monument
a Denotes Wood Hub Set
I 7601.73rd Avenue North 6603093 For Excavation Only
Minneapolis, leeriness 66448 x000.0 Denotes Existing Elevation
A drodificate Q Denotes Proposed Elevation
44E+ Denotes Surface Drainage
1 1k ..c' Proposed. Top of Block
HOES BY FRANCIS
941.7; Propoeed Geroge Floor
Property located in Section 935.! Proposed Lowest Floor i
26, Tormship 115, Range 22, Type of Building -
Scott County, Minnesota
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0.,syeAbyusto, 30th Hof Qctotter to 92
3 wr, R mood A. Prasch Minn. Reg. 16743
'' etaised 0 (0' .1991 •