HomeMy WebLinkAboutFence Permit 07-0016
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
PERMIT NO.07_ 'h
(Please type or print and sil!;n at bottom)
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LEGAL DESCRIPTION (office use only)
LOTtJ BLOCK3 ADDITION W{.~/1JA1 ~~eRrfi~ PID ~3"3g,.~:>(-D
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(Address) 1~7.3~ I/J~dr".laue 5E 1),O,t ~(JI,(/ 5?,:5/..J .
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(Contact Name) _ t' ~" V
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i BUILDER
(Company Name)
(Address)
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(Phone)
(Phone) crf" 2 -.l{q 7.. q8~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility Connection
ORe.Siding OLower Level finish 0 Fireplace
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CODE: OI.R,C. OI.B.C. Q(MISC
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE
(excluding land)
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I hereby certify that I have furnished 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
abllvc-mcntlOI1cd property and that all Clm' Ictlon II conform to all existmg steJte and local laws and will proceed in accordance with submtttcd plans_ I am aware that the buildmg
"mCl<lJ e<ln re tlm 101 .the )re. I hereby <lgree that the City "ffici<lJ or <I deSignee may enter upon the pmpeny to perform needed mspcetllllls
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Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
$
$
$
$
$
$
$
$
I
I
I
I I I
l/ll I
/ f I )1
I~I
I I
I
I
TOTAL DUE
Park Support Fee
SAC
.J
/
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
~.
Water Tower Fee
Builder's Deposit
Other
"
This Application Becomes Your Building Permit When Approved
Paid
Date
lllllldltl~ Urtlelal
Date
Date
# $
# $
$
$
# $
# $
$
$
$
Receipt No.
By
This IS to certify that the request in the abuve applicatlOn and accompanymg documents is In accordance WIth the City loning Ordinance and may proceed as requested This document
when signed by the CIty Planner Clll1stltutes a temporary Certificate uf Zonmg cumpliance and allows cunstruction tL1 commence Before occupancy, a Certificate of Occupancy mllst be
Issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Condilions, if any