HomeMy WebLinkAboutFence Permit 07-0009
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
" Yellow
File
City
Applicant
PERMIT NO.
'1/30/07
~ (2aJ7)
/-
(Please type or print and si~n at bottom)
ADDRE~S
63DlI H;l\ ((c ~ St. ~E
Pr, ~"" Lo kc
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER I
(Name) =-.Ea w(Vof
(Address) (,30 y
\/'J (; rcqO 'v
J I
rf ~ It vc ~+ ~+ >
(Phone)
01) - SbG- ~C:;?l
St:
pr,'vr
t.,al<c
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish o Fireplace
DAddition DAlteration o Utility ConnectlOn FeY\L(.
CODE: ~.R.C. DI.B.c. AlMisc
Type of onstmction: I II III IV V A B PROJECT COST IV ALUE $ "00 0 ~
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrmshcd mformation on this application which is to the best of my knowledge true and corrcct. I also certify that I am the owner or <IuthonzL'd agent for the
.1bl1ve~mentllJned property .1nd that .111 Cllnstruction WIll mnflllm (() all eXlstmg state and local laws and Will proceed in aecord.1nce with submitted plans. I am aware that the buildmg
~rlcial can ~:;;;ermlJ Just cause urthermore, I hereby agree that the City official or a deSIgnee may enter upon the pmpeny to perfllfm neede~P'J~s_o 7
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee I $
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$ _0
,..-
$
$
Receipt No.
By
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
'i< _. "".. ,-
~~ .M/l--
llulldll1g Umelal
L//3o/07
, Date'
Paid
Date
ThiS IS to certify that the request in the above applicatiOn and accompanying documents is in accordance with the City Zoning Ordinance and may prncl'cd as requested. ThiS document
when signed hy the Cay Planner CllnstItutes a temporary Certificate of Zonmg complrance and allows eonstrUCl1on to commence Before occupancy, a Certificate of Occupancy must be
Isslled
Planning Director
Date
24 hour notice for all inspections (952) -t-t7-9R50. fax (952) -t-t7--t2-t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
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Scott County
Page 1 of 1
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 affecting the area shown, and is to be
used for reference purposes only, Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
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April 30, 2007
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http://gis.co.scott.mn. us/serv let/com.esri.esrimap.Esrimap ?ServiceN ame=overview &Client V ersio... 4/30/2007