HomeMy WebLinkAboutFence Permit 05-0016
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
(Please
ADDRESS
I White
Pink
Yellow
File
CIty
Applicant
I PERMIT NO. 05 - / b
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ZONING (office use)
'530 .-
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LEGAL DESCRIPTION (office use only) Y
LOT -:LOCK / ADDITION ! t .1J() b
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OWNER
(Name)
IF vi/tar / ))fi//{) /HiJl
ILfrJO /JLud;111/ 1M-it' j fr/,u S"JJ7 2-
(Address)
(Phone)
fj2 - Y02 - Yo y 2
I BUILDER
I (Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
ORe-Siding OLower Level Finish 0 Fireplace
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CODE:l!:.R.C. OLB.C. o Misc.
Type of onstmction: 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 furmshed mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-menl1oned property and that all construction wlll conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
offiCIal can revoke thIS permit for Just ca se E Irthermore, I hereby agree that the CIty official or a deSignee may enter upon the propeny to perlorm needed mspectll s
06 '27. t? S'-
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fec $
This Application Becomes Your Building Permit When Approved
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Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fec #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
Paid
Date
Receipt No,
By
ThIS IS to certify that the request m the above applical10n and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constJt~s a temporary Certificate of ZOnIng compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
IS~ ~~IJL.J "/27/0S- S:-6'i. . v:.~ ~
Plann~ "Date 1~al Conditions, if any J
24 hour notice for all inspections (9:;2) 447-98:;0. fax (9:;2) 447-424:; 1.1~. I vt~ ~
16200 Eagle Creek Avenue Prior Lake, MN 55372 -r (.- ".. ~ -r-.
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SCALE: 1" = 30'
UN' ....~ .. IV,... Ut' t-UUNlJAlION ElEVATION
.:#..NP76 : NO TfZe6S ON 7HIS I-/)T
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I "....by c.,tlfy thot fi,/. I. a truo and corrocl r 'o.entatlan at a Yd'l a. shawn and
h sreon. As prepared tJ.y me thIs ::J.!!!... day. of I 19. '
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descrIbed
Mrnn. Reg: No. 11()8~