HomeMy WebLinkAboutFence Permit 05-0045
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1. f. 05
White
Pink
Yellow
File
City
Applicant
I PERMIT NOOS -45
(Please type or print and sign at bottom)
ADDRESS
-1-885 {5JVN v~
ZONING (office use)
ClfD
LEGAL DESCRIPTION (office use only)
LOT /SBLOCK
/ ADDITION
p~ ~ IL- ..s Oc/f'li-
PID 25.0/7. O/S. ()
OWNER
(Name)
(l,\ (,1/\ k. ~
f/l
,
),J,/~~
@
(Phone)
Q5). r l(l(o . ~ ~:/
- c c (( ~S2' .:lCf4t-c; 9fd
(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 ConnectlOn
CODE: OI.R.C. OI.B.C. ~ Mise. J' ~ /IX-- _Fia/t!6
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certity that I have turnIshed Information 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
abllve-mentlOned property an all constructIon will conform to all existIng state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
~rleial can revoke tl115 per t.~~ F"Z!lerebY agree that the CIty official or a deSIgnee may enter upon the property to perform needed In/;?'t/ /~
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee '$ Builder's Deposit $ NO
Sewer & Water Permit Fee I $ Other $ '/1 v\ G1 '"
-
$ TOTAL DUE $ V
This Paid Receipt No.
Date By
!'IllS IS to certify that the request in the above applicatIon and accompanYIng documents is In accordance with the CIty Zoning Ordinance and may proceed as requested. ThiS document
when Signed by the City Planner mIlStltutes a temporary Certificate of Zoning complIance and allows construction to commence. Before occupancy, a Certltlcate 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
':H "Il ~OllIllY
Page I 0 f I
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affectmg the area shown, and IS to be ,
used for reference purposes only. Scott County IS not c~nOF P' ~ ',: ~ I ,.:
responsible for any InaccuraCies herem contamed. If ~ . J' '. "" 'J
dlscrepeanCles are found, please contact the Scott ,I"...,.., ".,
Coonty So,".yo~ Oft,,,. f',O"c,::JllR.,., _ / ~--:- ~ov~er 4
u: :', . Llt:. - t:') .JroU.JITI O.b5'-O I
R-64-IJ i=C....../.::5 fI..-/NJ),p"". u "":':n.':'~:",~~l'JlWInlw
9'lAU.u' j eLJ ~JII H COr"\ttQI....$ASNuIW
n l"fW M~I-;I::pn:n..fY11::m~1 ~....IRUTT
lllZSJ aiillments ilia faf ycur informaIbL AllIlItabaII ba dona
In full ronpl1aru:a with aU appJic:1hla ~ . zonlng coda
requ.ifar.en1s Including i.tuns IlDt spuUi:;a!ly raiid... lis nMew.
KEEPTHlS PLAN SET ON SffE AT All TIMES.
,~
! ",Si;(}ll
,,~~.'"
l ;'441
",,.,,1 ;If: 'J.l"J
(.:" J ,:f:j.)
2005
http://'vvwW.CO.scotLmn.lIs/serv let/com.csri.csri map. Esrimap?ServiccN amc=ovcrview &CI icnt V ers... I] /4/2005