HomeMy WebLinkAboutZoning Permit (fence) 06-0023
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
File
CIty
Applicant
I PERMIT NO. a~- ~~
(Please type or print and si?;n at bottom)
ADDRESS i
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ZONING (office use)
LEGAL DES'lEyTION (office use only)
LOT ~~{O~K - ADDITION
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PID ().5(){) I 0/ ;f 0
(Address)
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3377
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(Phone)
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553 7:J--
OWNER
(Name)
i BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing
DAdditlOn OAlteration o Utility Connection
ORe-Siding OLower Level Finish 0 Fireplace
~ \1 <:~ fJ..!2.ry' VI't 11 (]~a / p
CODE: DI.R.C. DI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
I herehy certlty that I have furmshed InformatIOn on this apphcatllln WlllCh IS to the hest of my knowledge true an(j correct I also certIfy that I am the owner or autho!lzed agent Illl the
abovc-mentIOned property and that all (uostruction will confnrm to all cxistlOg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
()ft1cial can revoke s ('rmlt for Just cause. Furtherm - > ereby agree that the Clty official or a deslgnee may enter upon the propeI1y to perform needed lOspectlOns
6- /I---t) t
x
Contractor's License No.
Date
Sewer/Water Connection Fee
#
#
$
$
$
$
$
$
$
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Penmt Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Water Tower Fee
Builder's Deposit
Other
Paid
Date
$. I /I
I $/LJ Il!-
I I
I
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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Receipt No.
By
TIllS IS to ccrtlly that thc request 111 the ahove applicatIOn and aCCllmpanYll1g documents IS 111 accordance With the City loning Ordmance and may procced as rcquesled TIllS document
when signed hy the CJty Planner cnl1stJtute'S J temporary Certificate' of Zonmg compliance' and al1nws Clmstructinn to commence Before occupancy, it Certificate of Occupancy mllst be
i."iSllCd
Planning Director
Date
24 honr 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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PREPAREU FOR:
~RY AARNES
FISH POINT ROAD
l\KE, MN. 55372
/
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Valley Engineering Co", Inc.
SUITE 120- C, 16670 FRANKLIN TRAIL
FRANKLIN TRAIL OFFICE CONDOMINIUM
PRIOR LAKE, MINNESOTA 55372
TELEPHONE (612) 447- 2570 I
447-3241
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VESCRIPTION As PROVIVEV:
Th, South Hal ~ 0 ~ Lot 4. aU 06 Lou 5 and 6, Block' t. C.Ui{ 06' PlUolt Lak"
Scott Cowtt:y, MuHtuota..
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66
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