HomeMy WebLinkAboutZoning Permit 06-0012
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Date Rec' d
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POV~~
PERMIT NO. 00, bCi I Z-
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
/ S- c,~ 0 /11 GHL/fNO
HVe--;./th
ZONING (office use)
}:::IJP
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zC. /+3. 026.0
OWNER~
(Name) /AVV1
~vt"/t/
/
(Phone)
9sz Vii? SlAl
(Address)
BUILDER
(Company Name)
(Contact Name)
(AddTess)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility ConnectIOn
CODE: DI.R.C. DI.B.c. ~ Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
4'Z"' ~/;J ?-/fV'/L.
(11 ff)' G1 I r"'^-4'1J./7-
PROJECT COST It ALUE $ ~t!E
(excluding land) CCOI11e-
I hereby certIty thaI I have furnIshed mf(,rmation 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
abnve-mcntIoned property and t all construction WIll conform to all exislmg stale and Incallaws and will proceed in accordance wilh submitted plans. I am aware Ihat the buildmg
~licia~e~ I~urlhermore, I hereby agree that the CIty official or a desIgnee may enter upon the propelty to perform needed:rh~ ~
Signa~ Contractor's License No. ' Date
s-- 7 "6
Paid
Date
# $
# $
$
$
# $
# $
$
f
$ /'~
$ )0
/
Receipt No.
By
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size5/S"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
TOTAL DUE
s our Building Permit When Approved
Date
ThIS IS to certltyAhallhe request m the above applicatIon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by Ihe City Planner cons!ltutes a temporary Certificate of Zonmg compliance and allnws construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date
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
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Certificate of Survey for
. M..nOffICf 5116066
6815 H'9""'V No. 65 N.l.
Mlnn..po"', M,nnetoll 55-432
\ i2U:\'l:9.:hct ~66'O
8u,~~t.R1:m:.t~~ Blvd.
MCKNIGHT & A~~O~
+
The City of PliO( Lake does not
guarantee the accuracy of this
document. All dimensions must
Bearings Shown are Assumed. beverifiedintheflekL
o Denotes Iron tt)nument. SET PROPOSED ELEVATIlJ4S
o Denotes 10'(5) Foundation Top of Block 10/./7
Corner Stake. Lowest Floor
,,-"Denotes Exlsting Ele,atlon. Gara noor 9$.40
(Denotes 01 rection of SlIrf!c. Or,l oage. !l" 101. ~ 0
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