HomeMy WebLinkAboutFence Permit 06-0038
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ADDRESS
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
PERMIT NO. ot- ~5~
i/33/
(Zo /ctJr~d()
S'I-
ZONING (office use)
LEG/l,9JSc:rlIO~ Fce use iS6f 1(;,. . .'. , .
LOT BLOCK / ADDITION / /!.,&rl---M 11c/~
_____ __ 1
~'::~~~ ~ ..?~ ~~ { U (Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID ()05- ()tYJ
1 ~1- L-ll17-Y.$l~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectlOn
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
ORe;Sidi,n!] OLower Level Finisl1 0 PJ. eplace ;--
L.../ C!1J~l /1/ ?/ /../ k / /v~ /J~^- C'
o Mise ii..:). fJ P j C I( ~ (- () tV t/V=- }/"'e-.7 T
B
I
E
III
H
2
U
PROJECT COST IV ALUE
(excluding land)
$
IV
I
3
V
M
4
A
R
5
B
S
II
F
1
I hereby certify that I have hlrnished mformation on this applIcation which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authollzed agent Il)r the
above. mentIOned proper ,at all constructi III conform to all eXlstmg state and local laws and WIll proceed in accordance with submItted plans. I am aware that the buildmg
orticial can re IS permit for Just cau' ur ermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propeny to perform needed mspecllons
A71-1 ~/1,)/"Jt,
Contractor's License No. t5ate
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
A
/1/1) $ J ~
I Vf:.V)rl N c;...- I
TOTAL DUE
Application Becomes Your Building Permit When Approved
~~~ "ft:rA,,,
Paid
Date
Receipt No.
By
Buildll1g Onicial
Datc.
ThiS IS to certify that the requcst in the above applicatIOn and accompanYing documents is in accordance with the City Zoning Ordinance and may proceed as H.'quested. ThiS document
when signed by thc CIty Planner constItutes a temporary Certificate of Zonll1g complIance and allows constructIon to commence. Befme 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