HomeMy WebLinkAboutFence Permit 05-0023
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 sie;n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT 4BLOCK / ADDITION ;t::;No'/f #/t.-(.....
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OWNER
(N ame)
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(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
Date Rec' d
O~
7/3.
PERMIT NO.5.
23
ZONING (omce use)
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PID 25:" 3&8.001-. ()
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ORe-Siding OLower Level Finish 0 Fireplace
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CODE: DI.R.C. DI.B.C. )(MiSC.
Type of Construction: 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
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hJfnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the OWI1cr or authunzed agent for the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
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Signature Contractor's License No Da e
Permit Valuation
Permit Fee
Park Support Fee
SAC
$
$
$
$
$
I $
I
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water 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 Oftleial
Date
# $
# $
$
$
# $
# $
$ t~O \fA~)
$
$ t'l'
Receipt No.
By
ThIS IS to certify that the request in the above applicatIon and accompanying documents is 1I1 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
whc by the City Planner constItutes a temporary Certificate of ZOning compliance and allows construcnon to commence. Before occupancy. ,1 Ccrntlcate "f Occupancy must bc
iSSl d
Plannin~ec;o~ 1! r;J Dr ~ ~ond~S' i:~y
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372