HomeMy WebLinkAboutShed Permit 15-65 ®F PRjo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
v AND UTILITY CONNECTION PERMIT
12,-Z Z 45
*"NNESO'�P I.white File PERMIT NO.
2. Pink City
3 Yellow Applicant 1 > /F—�L•
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
.L?q3 SP
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID S I �
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OWNER / 1
(Name) b,�����' TC S (Phone) e �,2' 7%(�' d 7/�U6P
(Address) 'x%Yte
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
CODE: ❑LR.C. ❑I.B.C. ❑Mise./' ��X�a SCi �b ye Zo Sft
Type of Construction: I If III IV V A B PROJECT COST/VALUE $
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 fiimished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all .onstruction wig conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for eau Fu h r ,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
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 $
Gas Fireplace Permit Fee $ TOTAL DUE $
This Ap#is ti n Becomes Your Building Perinit Wh n Appr ed Paid Receipt NO.
r-- Date B
Z zz
Date
This is to certify 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
4646 Dakota Street Prior Lake,MN 55372
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Scott CoLaity, MN
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Parcel ID 251330471 _-
Property Address 2993 CENTER RD SW Land $70,000
PRIOR LAKE MN 55372 Improvement X122,000
Taxpayer Name. WALTERS FORREST W 8c LOIS E:Market Value $192,000
Taxpayer Address 2993 CENTER RD SW Homestead Status Y
PRIOR LAKE[HIS 55372 Homestead Classification :100 Res 1 -unit l__
Taxina District PL CITY Architectural Style SPLIT-ENT
ToWnship/City 25133 Year Built 1979
School District - ISD 4713 PRIOR LAKE Bedrooms 5
GIS Acres (0.34266 Bathrooms
---- -- ---- - .-. .--- r
Deeded Acres 0.00 Garage Size(Sq Ft).Co� r -.
Zoning Classification Sal
S€abdivisionName SPRING LAKE DATE !Z v0,60T,
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Legal Description TOWNSITE Lot 4&5 Block 035 SaI�r E SV *ATM
SubdivisionCd 25133 O ACCEPTED TF1 E ►CT ,NOTED
Disclaimer_hlap and parcel data are believed to be accuratE but s s t on-.PAN: s
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KEEP'TH18 PLAN SET ON SITE AT ALL`�11AES
http://gis.co.scott.mn.us/ScottGIS2.0/WebForms/Print.aspx?img=http://gis.co.scott.nm.us... 12/22/2015