HomeMy WebLinkAboutFence Permit 06-13
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I White
Pink
Yellow
File
City
Applicant
PERMIT NO. {)6 - 13
(Please type or print and si~n at bottom)
ADDRESS
/~5/ 7
OU '772H
/IV 6..5 E
ZONING (office use)
RI S D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION SPA?./ Nq .Pk?4Z/K- /'~
PID 26. (JtJC1. () 0 I. 0
OWNER
(Name)
0#10 '/ .A.oO/ ;c:;c;Al
(Phone)
('J.s2-) 22L5f:k7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch o Re.Roofing
OAddition OAlteArati?n ~ ~:::i~rnnectlOn
~ 0 ~ ~.~
CODE: ~.R.C. I.B.C. rvn
Type of Constmction: 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 OLower Level Finish 0 Fireplace
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PROJECT CbST/VALUE $
(excluding land)
I hereby certify that I have furnIshed mformatlOn 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.mentlOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submilled plans I am aware that the buildmg
otfleral can revoke thIS pel mlt tor JU7 cau" \- '" the I more, I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the plOperty to pel form needed mspectlOns
X ~.f ~~ ~-/1~'66
Signature Contractor's License No Date
Buildll1g Omcial
S-/' ( /0 "
Dati
Paid
Date
# $
# $
$
$
# $
# $
$ d7
$
$ ~
Receipt No.
By
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fec
Mechanical Permit Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
ThiS IS to certify that the request in the above applicatIOn and accompanymg 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 ZOnIng compliance and allows 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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BENCHMARK'
r MANHOLE, RIM
6ELEV.-909.70
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TOTAL AREA I~ce ~siteplan.js
OF LOT = rt'tI Ia!_ the City of P
" ~ 15,540 SQ. FT. "permit. '. onthe--.i
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PROPOSED
DWELLING
1,408 SQ. FT.
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PROPOSED
GARAGe
840 SQ. FT.
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