HomeMy WebLinkAboutFence Permit 08-0009
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
+. ZI. O~
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City
Applicant
PERMIT NO. 08.000
(Please type or print and sign at bottom)
ADDREi7~73 ~ d!-
LOT
OWNER
(Name)
(Address)
ZONING (officc l c)
~PID
(Phone)
fi1- 9~'7
BUILDER
(Company Name)
(Contact Name)
(Address)
g~-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch o Re,Roofing
OAddition OAlteration OUtility ConnectIon
CODE: DI.R.C. DI.B.c. ~ Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
ORe.Siding OLower Level FinIsh 0 Fireplace
~ ' L'
........ 8 CHA,N IN I<.
PROJE COST /V ALUE $
(excluding land)
I hereby certify that I have ttJrnLshcd mformation on this application which 15 to the hest of my knowledge true and COHect. I also certify that I am the owner Of authOrized agent for the
Jhnvl'-mCl1tlOned property and that all construction will conform to all cxistmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
<Jnina! can rev tlm permIt for JlISt calise Furthermore. I hereby agree that the CIty official or a deSIgnee may enter upon the propeny to perl(lrm needed mspectHlns
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Contractor's License No
<t. J..J - 0 S>
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water ConnectIOn Fee # $
I
Water Tower Fee # $
Builder's Deposit I $
Other $ I
TOTAL DUE $ (~
r
Paid i ReceIpt No. -,
Date I By
ThiS ..... to certify that the requl'st in the abl)Vl' applicatlOn and accompanYlOg documents IS 111 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 allllws constructwn to commence Before occupancy, a Certlticate of Occupancy must be
i.ssued
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