HomeMy WebLinkAboutFence Permit 05-0014
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO.
05-{4
(Please type or print and siWl at bottom)
ADDRESS
LfoCJ/
, .
~/Oly;edo
s+-
ZONING (otTice use)
-If!J ,Q]
LEGAL DESCRIPTION (office use only)
LOT /1BLOCK ~ ADDITION
OWNER
(Name)
lialMurU U~rk~
',j/ I j/
[}('/~isv~T CUoh ~
PID iJOt,- OeJ--J
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
ORe-Siding OLower Level Finish 0 Fireplace
r~JUC e/' fa I ~
CODE: DI.R.C. DI.B.C. >tMiSC
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)
I hereby certifY that I have furnished mfmmatlOn on this applicatIOn which is to the best of my knowledge true and correct. I also cerlIfY that I am the owner or authorized agent for the
above-menlIoned property and that all constructIOn will conform to all existmg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg
ot{le., can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property tn perform needed mspectlons
X' fl ~... :0_VY7/1 (0:)-0';
U 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 $
$ Sewer/Water Connection Fee # $
$ Water Tower Fee # $
$ Builder's Deposit $
$ Other
$
Gas Fireplace PermIt Fee
TOTAL DUE
I
I
,,') .....1-
$, It) .1i"G/ I
I $fV - 11 \, {~f \ I
( ')~'\-
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
/"\ , 1
TmJJ~Jl/J '" "BWIdI"gp~:7Dre~t;'d
Buildl11g 011icial v %~=
Paid
Date
Receipt No.
By
ThIS IS to certifY that the request 10 the above application and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constitutes a temporary Certificate of ZonlOg compliance and allows construction to commence. Before 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
~I-:J- (S L9Ct /7
s.ie- -P/I4-' L# 1/1 ~jY4L, <;;:"f 5;€
J\.P\e, '-^'-"/WJ
~\
[\ ,
h.., \.~, \ ,~",
DATP\~~ S I' ""1-
J-ACCc.. '.::b As SUBM.. . eLl .
, J ACwu. a:u WITH CORRECTIONS AS NOTED .'
C NOT~. .caJ.CORREcr a RESUBMIT '
The8e CDIIIMIeItlIl'8 far your Informatlor.. All work shaD be done
In fuD ....... wfth alleppflc8ble building & zoning code re-
ClUiremenlllncluding items not speclficelly noted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES.
N~5(
~.,,",
'" c.~
(
~:
,
"&)
0
~ ,
, ~
t
..J
~ ~
~
CITY OF .PRIOR LAKE
i
~..
<~ '.".
k~ "'-...
t:: S'......
, I ()c: -.......-.......
.~
"~1
2J-{ I
'!--' .
;!>>"
. -; 5Q' , , ~
t;2d< o,ll}.. I I z., ~
IT} IV/,} M ) :::::
\1' 1'/.'/
;
~b
,,'~herebY certify thIs site plan is ~urate to the best of
1IIV:~owledgp '1 id the City of Prior Lake j~.issu~
fit *mit based on theinfQ{R\JOOn I have .IUfJmitted:
."~,r,~tor"~on#i8
,...ancH. . hi I .......... fQr. -"'-'. ,linn'.
. , .8{188 , I.~~ '~'"V
. '.. ,.stnI. ,..that. ". .=-. :.::- ntwjth
.. .-fMY~" ,
"~tsofthe,~ .. ," . ,., I
~~(h~Jn~Omt1~}J)(Pl. /1"11/01
ProPt~rt: 3~:17~ tJ~v Date
II I)" I
\\ 1 ~ f'V