HomeMy WebLinkAboutFence Permit 07-0020
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
c,. ~ 07
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07. 002- 0 J
(Please type or print and si~n at bottom)
ADDRESS 5595 Ift//U/IJ
~ (.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER..-.-. I
(Name) J o-e
-r t... rr--r... 5
(Phone) ~13. ~Sf- ~;l Jt'
(Address)
[ BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 FireplilCe
OAddition OAlteration o Utility ConnectIon
CODE: OI.R.C. OI.B.C. )(MiSC _Fe~ 51 (!HAl N '-//1/ K-
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby eertlty , t I have tmmshed In
abllvc-mentlO d ruperty and that a
official can r () L' this permit for JlI.
x
arion on this application which IS to the best of my knowledge true and correct. I alsu certify that I am the owner or <luthonzed agent for the
llnstructlOn will contllrm to all eXIsting state and local laws and will proceed In accordance with submllled plans I am aware that the blllldlng
ause Furthermore.] hereby agree that the CIty official or a deSIgnee may enter upon the propeJ1y tll pert\lfm needed InSpeellllns
~.-. ~-d "/
Contractor's License No.
Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Tower Fee
#
$
$
$
$
I $
i $
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8", I",
Pressure Reducer
Sewer/Water Connection Fee
#
Sewer & Water Permit Fee
i $
I $
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
$
y
II I
o B~ Your Building Permit When Approved
{P.4-~f/7
/ " IIH! U :0"" Ddtc
ThiS IS tu tJty then the request 111 the abuve applicatHln and accompanYll1g documents is 111 accordance wllh the City Zoning Ordll1ance and may pnlcecd as requested TIllS document I
when Signed by the CIty Pl.mIler constItutes a temporalY Ccrtlticatc uf ZonIng compliance and allows constructWI1 to commence, Bcfure occupancy, a CertlticatL' llf Occupancy must be
L\SLll'd
Paid
Date
Recetpt No.
By
Planning Director
Date
24 hOllr noticc for all inspcctiolls (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any