HomeMy WebLinkAboutZoning Permit (fence) 06-0026
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. (]{p-- ~ I
(Please type or print and si~n at bottom)
ADDRESS
ILj4,"~
G /e-~da Ie
1I-lIF
ZONING (office use)
LEGAL DESCRIPTION (office use only) /J. J
LOT ~BLOCK I ADDITION Oo..k1cv"d (~
;:;;t-d PIIl75- / 3 (/ 00 ~ --0
~ . -
OWNER
(Name)
~1tVE, Vt.~~~cD
(Phone)
OSSZ.-~7~S'2-
(Address) 14GG"2,... 6U-:N~LE.
Ave ~f:.,
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtiJity Connection
ORe-Siding OLower Level Finish 0 Fireplace
'1<2/1 0MliJ L/,uJ<
CODE: f.R.c. DI.B.C. o Misc.
Type of onstmction: 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
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished Infmmation on this applieatlOn which is to the best of my knowledge true and correct I also certIfy that I am the owner or ;\lIthonzed agent tllr the
above-mentioned property and that all construction will conform to all existIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
official can revoke tlm permit for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed Inspections
x
Signature
Contractor's License No.
Date
SewerlWater Connection Fee
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#
$
$
$
$
$
1$ J_
11 $/ I() ,
/ IJ$ / '---'
$ ,
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Plan Check Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~
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6/.:JCJ /ora
, Date'
Paid
Date
Receipt No.
By
Buildll1g Ullicial
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 TIllS document
when signed by the City Planner constitutes a temporaty Certificate of ZonIng compliance and allows construction to commence. Before occupancy, a Certllicate of Occupancy must be
issucd
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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_n --. @ SHORT ELLIOTT HENDRICKSON INC. 2001. ANY
-~------ ---~-- ---------------- USE OR REUSE OF THIS PLAN/DRAv.1NG AND THE
CORRESPONDING COMPUTER AIDED DESIGN/DRAFTING
._______n__ -.--- --- ------ ---.- FILES IIHHOUT THE EXPRESS WRITTEN CONSENT OF
SEH. IS PROHIBITED SEH SHALL NOT BE RESPONSIBlF
FOR ANY UNAUTHORIZED USE OR REUSE OF THE
MA fERIAlS. OR DAMAGES RFSUl TI~G THFREFROM
---..-- ~-,.._----- --. -.----.----..-.--------.
r hereby certify that this survey. sketch. description, or
report was prepared by me or under my direct supervision
ond that I om 0 duly licensed Land Surveyor under the
lows of the stote of Minnesota.
.MS.5..
_EDIi. -NQ BY
x 925.80
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927.14
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PH 800.8
J10 MAIN
PO BOX
GA YLORD.
REVISIONS
Signature _ __ Lie. No. __16.JL9___
Printed Nome' Thomas ,1. ~I~._ Date: 10/11/01
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