HomeMy WebLinkAboutFence Permit 05-0038
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10 cf-. oS-
.
File
City
Applicant
[ PERMIT NO. 0 5. 38
I White
Pink
3 Yellow
(Please
ADDRESS
n at bottom)
/50"'T'H ST.
57tR 2
ZONING (office use)
l2/s0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z..S.QZ5. 001.0
OWNER
(Name)
(Phone)
PAT /l1,4XWet-!-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon
XMiSC ~~U5 - (t; I p/l;IVA-~r
PROJECT COST IV ALUE $
(excluding land)
CODE: OI.R,C, OI.B,C,
Type of Constmction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
A
B
U
I hereby certIfy that I have hlrnlshed mformatlOn on this application which IS to the best of my knowledge true and correct. 1 also certify that I am the owner or authOrized agent fiJr 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 1 am aware that the buildmg
official can revoke tlm permll for Just cause Furthermore, 1 hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perfilI'm needed mspectlOns
x
Signature
Contractor's License No, Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
Paid Receipt No.
Date By
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
811ildll1~ Urticial
Date
ThIS IS to certify that the request in the above applicatIOn and accompanymg documents IS m accordance With the City Zoning Ordinance and may proceed as requested Tim document
when signed by the City Planner constItutes a temporalY Certificate of Zonlllg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-,n45
16200 Eagle Creek Avenue Prior Lake, MN 55372