HomeMy WebLinkAboutZoning Permit 12.0035 Shed of PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE z7 /2_ U pi
AND UTILITY CONNECTION PERMIT /
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"Nesb 2 Pink City PERMIT NO. l
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
OWNER
(Name) M,cef ii/UPG < ' (Phone) es--3_ gy7 .lr
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition ❑Alteration ❑Utility Connection / / /
CODE: I.R.C. ❑ EI.B.C. `XMisc. Sr ` 0 (1
Type of Construction: I II III IV V AB
/ /'''' PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned property and that all construction w onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can,FeVO this p d Z'L /`J` rmit for jus�ause Fu j o , 1 h y agree that the city official or a designee may enter upon the property to unto= unto= needed mspectio
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Signature Contractor's License No. Date
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 $
0
Gas Fireplace Permit Fee $ TOTAL DUE $
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This Applica i (comes Your Building Permi' When A! !roved Paid Receipt No.
Date By
(�2
Bu mg Official Date
This is to certi that 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
Scott County, MN
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This drawing is neither a legally recorded mis ,
nor a survey and is not Map Scale N
intended to be used as one. This drawing a ap compilation of records,
information, and data located in various city county, and state of ices, and 1 inch = 23 feet
other sources affecting the area shown, and is to be used for reference W E -+..+..
purposes only. Scott County is not responsible for any inaccuracies herein M a Date
contained. If discrepancies are found, please contact the Scott County p 3
Surveyors office. 6/29/2012 s SC Ott