HomeMy WebLinkAboutFence Permit 05-0015
(Please type or print and si~n at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
3 Yellow
I PERMIT NO. iJs-- /~
File
City
Applicant
ZONING (office use)
50s: 3
PonJseci~_
S!;-3 r-~
Lane
Prior Luke
c:-""
0t:
LEGAL DESCRIPTION (office use only) .r
LOT ~LOCK I ADDITION D ~~~ck?, ?~
fJ
~,:,~ VI o.d imi l2- ~ SvefLahq Form OY(f (Phon,)
(Address)
PID ~9 9- fJOd-C,
t;5J. - ~..p,. 6 --~} tj!?
BUILDER
(Company Name)
(Contact Name)
(Address)
Itrh'sf;'c FeneL j -1 hC-
HQrl< No.SVU$h
(Phone) 05/- L/OJ--J~579
SQ/rY1e
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch DRe,Roofing
OAddition OAlteration OUtility ConnectIOn
,L) / (:ha,,'jU [I'NI:. FeMCL---
A/t'Ht!.L/MMgL6 .~,
PROJECT COST/VALUE $ L/
(excluding land) j~
F-v'TU/2-c rC-JC//
I hereby certify that I have furnIshed mformallOn on this applicatlon which is to Ihe best of my knowledge true and cOl~rect. I also certify that I am th'e owner or authonzed agent for the
above, mentIOned property and that all construction Will conform to all eXIstIng stale and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
~1iCia] can S VIS~~J~~; Q:crmore, I hereby agree that the CIty official or a deSignee may enter upon Ihe property to perform nee@ 1":!:7t'fS_ 0'::;-
Signature --' Contractor's License No. Date
Gas Fireplace Permit Fee
4' -
1'1 -
m1Jfft~gp'~:7"Ar"d
/\/)/(/4/"-.. _ ' I /Oe:
BullJin~ Official _______ Date.--
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
ORe-Siding
DLower Level Finish
o Fireplace
){ Mise.
B
I
E
B
S U
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
,....,
(\ l()
il0 0)C" \ \
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
Receipt No,
By
ThiS IS to certify that the request In the above apphcallon 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 temporary Certificate of ZonIng comphance and allows construction to commence Before occupancy, a Certlticate of Occupancy must be
isslled
Planning Director
Date
24 hOUf notice fOf all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any