HomeMy WebLinkAboutShed Permit 06-07
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
PERMIT NO. 0'-. 0067
I
ZONING (office use)
(Please type or print and si~n at bottom)
ADDRESS
1/&'3 t !lVhl'Jln,/J,11} 7/.,.",}
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(jOhll - Wc~y ./1 rlif~
.1//16 l!vhAlkt, (JIll) 11A1/
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
PID
Date Rec' d
9// z!1J (..
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlleration OUlility ConnecllOn
ORe-Siding OLower Level Finish 0 Fireplace
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CODE: DI.R.C. DI.B.c. ~Misc
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I heleby certifY l~ I have furnished 1OtmmalIon on thiS apphcalIon which IS to the beSl of my knowledge lIue and conect I also celtlly thaI I am the ownel 01 authorIzed agent lor the
above-mentlOne .'opelty and thaI all consllUClIon Will conform to all extSlmg stale and locall,lws and wIll plOceed 10 accOldance wIlh submitted plans I am "wale that the blllldmg
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V · Signature Contractor's License No Date
~ IV
Permit Valuation
Permit Fee $ , If'
Plan Check Fee $ V"-' ,
I
State Surcharge $ k
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
r Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ ~ 9/1 2-/D lp
Buildlllg Otlleial Date
Paid
Date
#
#
#
#
Receipt No.
By
$
$
$
$
$
$
$
$
$
ThiS IS 10 certIfy lhal the request m the abuve applIcation and accompanying documenls is 111 accordance wIth the City ZOning Ordinance and may proceed as requeslcd. TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg cumpliance and allows constructlon to commence Before occupancy, a Certificate nfOccupancy mllst be
issued
Planning Direclor
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Valley Pools & Spas
Date: 7-17-06
Revised: 7-20-06
Scale: 1"=30'
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I'Z -10'0
1d1~,
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-10'0'
Deck 15'0
lUlU I
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Garage
Driveway
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40' Easement
Parrish House
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10' Easement
5' high non-climable
fence in accordance with
the City of Prior Lake,
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