HomeMy WebLinkAboutMETER FOR LAWN IRRIGATION 07-0658
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Allr; (I 3 2007
I White
rin~
Yellow
File
City
Applicant
PERMIT:N."O'{)'Ffl{.~ 5'1>
(Please type or print and si~n at bottom)
ADDRESS
OU'TLOT C,
SIVIJ6CI0I/1/C
ZONING (office use)
Pi/v
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
z...~. 4-(, ~ 039. 0
PID ~:::. ;Iv'~ ...~" S~
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
PL.tI /'10lllH
,
pL..un6//vu
" I
(Phone)
(Phone)
.sf. 1//6ff/l61-
MIV
5537rc
I
(Address)
/Z7...70
+ J 'c?-o
Sf /116"
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility ConnectIon
CODE: OI.R.C. OI.B.C. ~MiSC. J'/~TEK- R'IL LA tv' AI /kVC.-/ C7J_
I
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certity that I have fi,rmshed mfmmatlon ,m thiS applicatIOn which IS to the best of my knowledge true and COlTect. I also certify that I am the owner m authollzed agent 1m the
above-mentlllned property and tliat all nmstructlon will nmhlrm to all eXlStmg state and local laws and will proceed m accmdance with submitted plans I am aware that the bUlldmg
official can revoke thiS permit for Just cause Furthermore, I herehy agree that the City official or a desIgnee may enter upon the propelty to perform needed mspectIOns
X
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $ I
Permit Fee $ SAC # $ 1
----.
Plan Check Fee $ Water Meter Size 5/8'~1' $ 750_ O()_
' ~
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $ 1
Plumbing Permit Fee $ Water Tower Fee # $ 1
Mechanical Permit Fee $ Builder's Deposit $ 1
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ ?50.00
~~m~ - I I
Tlli'AP'(lrti~";!'M";h1;m~; ~a;:C ~r;.;~ _ ~~rNO ,y,.,
,"" " ", ",',~:',':.'::~::':::::,~"~"2""",,,,"' ,::':~mmp'",m' d"'~'"""" I, J[ ,~"'~,,~, ~",~'"~ I~L ,"" "'"' "",,,,,,,, ,,,,",,,,d ,"" d,,"m,"'
when Signed by the CIty Pl.1nner constitutes a temporary Certificate of Zonmg compliance arTf W lWSJIj. euc}OIjw l<OO%nc, B. fme occupancy, " Certlticate of Occupancy must be
ISsued UlJ f;GO S' 50 -'
Plauning Director Date Special Conditions, if any
24 hour notice for all inspections (~y.t:1"l "Xl'll, f:n:""('''",' ....'-..L..r
4646 Dakota Street Prior Lake. MN 55372