HomeMy WebLinkAboutFence Prmit 07-0018
CITY OF PRIOR LAKE ~~Lili~tJ~IT'
TEMPORARY CERTIFICATE ~ZONING C PLIANCE
AND UTILITY CONNECllUl~ fE IT
Date Rec' d
1 White
Pink
.\ Yellow
FE;V~E
PERMIT NO. 07. {j 0/8
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
/tp058
c /l9~C
Oeee/c- /I Ve.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT50BLOCK
ADDITION
LA/c6.s 10 C f',4 teK.
PIDZS. 0'1&. 03.3. 0
OWNER
(Name)
/ J;;::;e
E;ZFt 21 Cte.
(Phone)
(Address)
i BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditIon OAlteration OUtIhty ConnectIOn
CODE: OLR.C. OLB.C. IV V A B TA Mlsc
Type of Construction: I II III r
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 FIreplace
E;::;;IJ(' f - ~ / / A/ L./ A..I/<::"
/Ch7t.-/l bGH e:W/-
PROJECT COST IV ALUE $
(excluding land)
I hereby certily lat 1 have fmnlshed InlmlTlatmn on thIS applicatlon which IS to the best 01 my knowledge true and correct 1 also eertlly that I alTl the owner m authollze,l agent for the
d pro Tty and that all constructlLln will contllrlTl to all eXISting state and local laws and will pmceed 111 accmdance with sublTlItled plans I am aware that the build1l1g
l - l' mIt fin . ,...." :-....lIl.l.:rmme. I hereby agree that the City official m a deSIgnee may enter upon the pmperty to perfiJrm nee'7'"')~ ?
x
SIgnature
Contractor's License No.
Date
# $
# $
$
$
# $
# $
$ .
/
$ 0
$
/
ReceIpt No.
By
Permit Valuation
Plan Check Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ ~~P1do
lluildll1~ Uf!iclal \)at~
Paid
Date
ThiS IS to certlly that the request 111 the above appbcatml1 and accompanYing doculTlents IS 111 accordance WIth the City Zl1l1lng Ord1l1ance and may plllceed as requested. TIllS doculTlenl
when slgnl'd by the CIty Planner constItutl'S a tl'mporalY Cl'rtificate 01 ZOning complI.mce and allows constrUl'tlOn to commence Before OCl'upancy, a CertIficate 01 Occupancy lTlust be
issued
Planning Director
Date
24 hour uotiee for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
Scott County
Page 1 of 1
16058 EAGLE CREEK AVENUE
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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March 16, 2007
http://gis.co.scott.mn.us/servlet/com.esri.esrimap.Esrimap?ServiceN ame=overview &ClientV ersio... 3/16/2007