HomeMy WebLinkAboutShed Permit 08-41
CITY OF PRIOR LAKE B ING
TEMPORARY CERTIFICATE F ZONING C
AND UTILITY CON C
Date Rec' d
/$/40
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I PERMIT NO. 66 ;004-1
File
City
Applicant
ZONING (office use)
O/fK-/e40ve:
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNE~ -;?';i/o
(Name) W PA!.~ W 'A' ~ /N'f'
v
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID 25". orJ. 02-4-. 0
(Phone)
.Fz.- ';/l,f'tJ- /S" ~ 7
'5L-~/.:J.. -/J7..z.
(Phone)
(Phone)
ORe-Siding OLower Level FinIsh 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtlhty ConnectIOn
~lSC
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
IV
I
3
V
M
4
A
R
5
II
F
1
III
H
2
I
E
A
B
S"1tW - ~ 'X (2-
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certily that I have furnished 1OformatlOn on this applicatlOn which IS to the best of my knowledge true and correct. I also certlly that I am the owner or authOrIzed agent for the
abovc-menl1oned property and that all construction will conform to all eXlSt10g state and local laws and will proceed in accordance with submltted plans I am aware that the build10g
official can revoke this permit for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed 1Ospecl1ons
X . ?//~?
Contractor's License No ,/ r:1Ate
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Date
Buildll1!! Otlicial
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
~
Other $ /0(
TOTAL DUE $ >V
Paid
Date
Receipt No.
By
ThIS IS to certily that the request in the above applicatIon and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372