HomeMy WebLinkAboutFence Permit 06-0041
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
Date Rec' d
I PERMIT NO.C)(; --_/
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
-TOM J )~E-
(Phone)
~\A. <. L.:.. I N (;HAM
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
ORe-Siding
PID
q 5 z - 2'2..<0 - ~4-4- j
WLJOcl
OLower Level FinIsh 0 Fireplace
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CODE: OLR.C. OLB.C. o 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
PROJECT COST IV ALUE $
(excluding land)
x
Contractor's License No_
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
Buildlllg Oftlclal
Date
'1-t5-/)b
Date
# $
# $
$
$
# $
# $
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Receipt No.
By
ThIS IS to certify that the request in the above applicatIon and accompanying documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City anner constItutes a temporary Certiticate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued ~ ~_/~_ O-C
Plann~irector
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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