HomeMy WebLinkAboutFence Permit 07-0014
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ADDRESS
/S?/'f
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5/i/o7
07.00/4'
] White
Pink
Yellow
~6 N ct:
I PERMIT NO.
File
City
Applicant
KIl>f5tc~&hVI AVE S.t:?
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name) M/t.1tJ!J::6.
O'</~O
CJ52-Zo/()- 2339.
(Phone)
(Address) /57/ 'i 7211>t$~..1N"'/' _~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAdditlOn DAlteration DUtility ConnectIOn
CODE: MLR.C. OLB.C. ~iSC
Type of ~stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certify that 1 have hlrmshcd mformatIOn on this application which IS to the best of my kno~'lcdg(' true and COlTect. I also certify that I am the owner or authorized agent tlJr the
above.mentlllned property and that a - Instruction WIll contlJrm to all eXIstIng state and local laws and will proceed In accordance with submIlted plans. 1 am aware that the building
otflcial can revoke tillS permIt fl)' s ,use Furthermore y agree that the my official or a dCSlgnee may enter upon the property to perfllrm needed InSpCCtll1l1S
t:).-rh4~ '7.
, [~te
i BUILDER
(Company Name)
(Contact Name)
(Address)
s.G.
(Phone)
(Phone)
ORe-Siding OLower Level FinIsh
o Fireplace
Fc:-/V'{'E' .
PROJECT COST /V ALUE $
(excluding land)
x
/'
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
I $
I
i $
I $
Park Support Fee
SAC
# $
# $
$
$
# $
# $
trJ --
$
I $ ~V
I
I $
Receipt No.
By
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
/~~ S--1~C-tJ?
Paid
Date
ThIS IS to certIfy that the request m the above apphcatlon and accompanymg documents IS m accordance with the City Zoning Ordmance and may proceed as requested TIllS document
when SIgned by the City Planner constItutes a temporary CertIficate of Zonmg comphance and allows constructIon to commence Befme occupancy, a CertIficate of Occupancy must be
iSSlll'd
Planniflg-Director
Date
24 hour notice for all inspections (952) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
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Scale:
...
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15719 RIDGEMOUNT AVENUE SE
CERTIFICAT~ OF SURV~Y
For:GEROLD BROTHERS HOMES
N00036'14"E
I
8.6.00
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