HomeMy WebLinkAboutFence Permit 05-0026
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/', 9. OS-
I White
Pink
'."e!low
File
City
Applicant
PERMIT NO. 0 S. Z {p
(Please type Of print and sign at bottom)
ADDRESS
L/3 /.5
QMn/tU~
t!f~E;
~L-
ZONING (office lIse)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
WrJ--t ~
/;i-I/V 2-
(Phone)
,9:Fz- Vlf)-2.39"Z:>
(Address)
i BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAdditlOn DAlteration o Utility ConnectIon
ORe-Siding OLower Level Finish
o Fireplace
CODE: ~LR.C. OLB.C. >> Mise.
Type of Constmction: 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
;::EN Cb ~ I
PROJECT COST /V ALUE $
(excluding land)
x
nn this applicat'on which is to the best of my knowledge true ilnd correct. I also certify that I am the owner O[ authonzed agent for the
le , nd that all c structlOn w fo to all eXlstll1g state and local laws and will proceed in accordance with submltted plans I am aware that the buildlllg
, permit for Just calise Furthermo. . - 'by agree that the City official or a deSignee may enter upon the prnpelty to perform needed inspectIOns
· ~-9-o:r
-'"
l
Contractor's License No.
Date
# $
# $
$
$
# $
# $
$ J 0 Vj 0
$ rYf'
$
Receipt No.
By
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8".; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace PermIt Fee
TOTAL DUE
This Application Becomes Y OUf Building Permit When Approved
~ ~ ?/<=J/oS
lluildll1!! Ufticlal ' D!lIc
Paid
Date
ThiS IS to certlfy that the request in the above applicatlon and (]ccOmpanYlOg documents is in accordance with the City Zoning Ordinance and may proceed as requested. TI11s document
when signed by thl:' City Planner constitutes a temporary CertificJtc of Zonmg 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