HomeMy WebLinkAboutFence Permit 07-0011
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .~ . .) . D7
AND UTILITY CONNECTION PERMIT z;:; /1' ~
I EJL! L/L/
PERMIT NO. 0-7 00 I
I White
Pink
Yellow
File
City
Aprlicant
/ roo 46
5-1-
Paul
AVe
5E
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~ _ /,... h ;. 1 J A I' ,
(Name) =.J .L.e.J..HlLfJ _/'t-t!. t ()~.p &-
(Address) / (PO 4S ,,> +~ Po: u I t}lJ I .""\ , E
(Phone) 95~- a~6-~~19
?riOfG l.a!r'e./ /YIU
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch o Re.Roofing
OAddition OAlteration o Utility Connection
ORe-Siding
OLower Level FinIsh
o Fireplace
CODE: DI.R.c. DI.B.c.
Type of Constmction:
Occupancy Group:
Division:
A
B
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S
J(MiSC FcJv e:.<::;;
.f;"1
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that [ have furnIshed Inf(lrmation on this applicatllln which IS to the best of my knowledge true and COlTect. I also certify that [ am the owner or allthoflzeLl agent for the
abllve-mentllJned property and that all constrllctlon will conform to all eXISting state and [ocallaws and will proceed In accordance with slIbmltted plans. I am aware that the bUIlding
~tiliJ:)~r~ust ~ruhle~at the CIty officiall1l a deSignee may enter lIpon the propel1y to perf(Jlm '~d ~8tl:SO I
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
,
$ yf
$
Receipt No. t
By
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 Your Building Permit When Approved
~ LJu-
Bllildlllg Ullielal
5/3/07
. bak-
Paid
Date
ThIS IS to certIfy that the request 10 the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and mil)' procecd as requested. ThiS document
when signed by the City Planner constItutes J. temporal)' Certiticate of ZOl1mg Cllmpliancl' and alhlws construction to cnmmcnce Before ()ccupancy, .1 CertIficate llf Occupancy mllst be
t"iSlll'd
Planning Director
Date
24 hour notice for all iuspcctions (952) ././7-9850, fax (952) ././7-./2./5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any