HomeMy WebLinkAboutZoning Permit 06-0002
Date Rec' d
..3 . 2- f' () (,
File
City
Applicant
6/1/e6
PERMIT NO. OG, fi()O 2...1
I White
Pink
Yellow
ADDRESS
STlZeeT sw
...313 q7 WI ("V() W yV 0 00
LEGAL DESCRIPTION (office use only)
OWNER
(N ame)
(Phone)
QS;;I-ZJ/P;;; J 7+
LOT Z BLOCK 4- ADDITION
ZONING (office lIse)
fi?/
PID Zs. 308. OIZ. 0
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
ORe-Siding OLower Level Finish 0 Fireplace
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fr(..I,,'r?/ N / 1/V7
6~~ (--'
PROJECT COST IV ALUE $
(excluding land)
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
..k1' Misc,
re.N'(!,;e
III IV V A
HIM R
2 3 4 5
B
S U
I
E
II
F
I
I hereby ce ti that I have furnished In "orm, IOn on this applicatwn which IS to the best of my knowledge trlle and correct. I also certIfy that I am the owner or iluthorIzed agent Illr the
above-me IlJ cd pr erty and that al l~ "uctwn will conform to all eXIStIng state and local laws and Will proceed In ilccordance with submitted plans. I am aware that the buildmg
"fflcial ca r oKe t . pe It for ,1I Fir clmore, I h leby ~e City offiCial or a deSignee may enter upon the plopelty to pel form needed InspectIons
X'v I \ J c2f -()tf-;
Contractor's LIcense No Date
Park Support Fee
SAC
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
#
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$
~
Date :], 30. O&, .
~/bi- ·
This Application Becomes Your Building Permit When Approved
Date
Buildin~ Oftieial
ThlS IS to certify that the request in the above applicatlon and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constItutcs a temporary Certificate of Zonmg compliance and allows constructIon to commence. Before occupancy, il Ccrllflcate of Occupancy must be
issued
Special Conditions. if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372