HomeMy WebLinkAboutZoning (Shed) Permit 09-0037
CITY OF PRlOR~==T,
TEMPORARY CERTIFICAT OF ZONING ~ MPLlANCE
AND UTILITY CON IT
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I PERMIT NO.
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LEGAL DESCRIPTION (office use only)
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09 003/1
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ZONING (office use)
File
City
Applicant
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ADDITION wt (,
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BLOCK
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition OAlteration OUtlhty ConnectIOn f
CODE: DI.R.C. DI.B.c. Mise
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding
o Fireplace
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OLower Level Finish
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PROJECT COST IV ALUE $
(excluding land)
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I hereby certifY that I have furnished mformation 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
above-menl1oned property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submltled plans. I am aware that the buildmg
official can revoke this pe. 1st cause Furthermore, I ereby agree that the CIty official or a designee may enter upon the propeny to perform needed mspec ons.
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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
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Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThiS IS to certifY that the request in the above applicatIOn and accompanying documents is in 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