HomeMy WebLinkAboutFence Permit 06-0045
CITY OF PRIOR LAKE Bi.l~t. r~ IT,
TEMPORARY CERTIFICATE 0 ONING MPLIANCE
AND UTILITY CONNEC Ul MIT
Date Rec' d
] White
Pink
Yellow
File
City
Applicant
PERMIT NO.
r,19,~(P
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O(P.OO+"!{
(Please type or print and sign at bottom)
ADDRESS
/(,/90 ;:?eA/V,t:;~/ tV
IltAlt-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID V-A /57. oor; 0
I
OWNER
(til"ame)
-Jo e.
t\-C~:0Hr'4
J
(Phone)
'1'');). - 301- -, 1"5;)..
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
DAddition DAlteration DUtility Connection
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c. %MiSC
Type of ConstnIction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
,c:e;vd - 4" tJH?t / It/ U IV ~
PROJECT COST IV ALUE $
(excluding land)
I hereby certilY that I have hlrmshed 1OformatlOn on this applicat!()n which IS to the best of my knowledge true and correct. I also certify that I am the owner or authoJ\zed agent for the
above-mentIOned property and that all construction will conform to all exist10g state and local laws and will proceed 10 accordance with submitted plans. I am aware that the blllld10g
ot!iClal can reVOk~' thl e It for JUS cause urthermore, I hereby agree that the city official or a deSIgnee may enter upon the property to perform neede~~e'Bs. (j <..:::>
X -{_
" Signature", Contractor's License No. Date
"-.
Permit Valuation
Park Support Fee
#
$
$
$
$
$
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
Paid
Date
# $
$
$ cff
$
/
Receipt No.
By
Builder's Deposit
Other
TOTAL DUE
I
ThIS IS to certllY that the request in the above applicatIon and accompanY1Og documents is 10 accordance With thc City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zoning comphancc and allows construction to commence. Before occupancy, a Ccrtltkatc 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
Scott County
Page 1 of 1
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
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September 18, 2006
http://gis.co.scott.mn. us/serv letl com. esri. esrimap . Esrimap ?ServiceN ame=overview &Client... 9/18/2006
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'SURVEY 'FOR
JOHN MAHONEY
RT. I
PRIOR LAKE, MINN
15372
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: take TJil rr3ponsibilit)!fQJ any in~;.1;aci~$4:ln tl'li~
~ : - and I 0.]1E:8 that! a~i responslbI,l1~i'~t~~~til'i~
E'1J' :nructures that may be 1;J~adlrlcc.1si3J:.,'n~ '/mrl
:-ha reql..1rements of the Zoning{Jrci&1a'iC9. ",
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in full compliance with aD appDcabIe buIkflng & ~.........
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KEEP THIS PLAN 5...9' ON SI1E.M ALL "TlMEt~/
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. FRANKLIN
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