HomeMy WebLinkAboutFence Permit 07-0021
CITY OF PRIOR LAKE B
TEMPORARY CERTIFICATE
AND UTILITY CONN
~;;~'Md ';gn ..bottom)
G~ t..f 3 .3 E,J t-. L~vr c..--r-
Date Rec' d
IN G PERN{IT,
ZONING CO LIANCE
T
(p Ir07
White
Pink
Yellow
File
City
Aprlicant
PERMIT NO. 07, () () Z /
JV. IA)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
\-~ { .c:;
12 100.
ZONING (llffice use)
~ . .J-'l-I -toS1
(Phone) ) C( 5 2--.~
~~~) (7(o3)<-t .;l'S-605n
(Phone)
~-=:; ~
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility ConnectlOn
~iSe.
ORe-Siding OLower Level Finish 0 Fircplacc .. t'
rCA/ cE - 4- Z .( LiZ/(' _ e/~ /~ ,-I ,v.
$
I
I
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE
(excluding land)
i 1 have turnished mformatlon on this, li IOn ~ is to the best of my knowledge true and Cot.Teet. 1 also ccrtl.fy that I am the owner or authOrIzed agent for the
pfl1pcrty and that all nmstructllln w ,to orm a eXisting state and lllcallaws and will prllceed In accllrdance wuh submUted plans I am aware that the bUilding
, this perml - ree that the cay official or a deSignee may enter upon the propel1y to perform needed inspectIOns
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
i Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllg Urtieial
Date
Contractor's License No
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
This IS to certify thJt the request in the above applicJtion and accompanymg documents is 111 accordance with the City Zoning Ordinance and may pn)cecd as requested ThIS document
'V./hcn signed by the City Planner COllstltutes a temporary Certificate uf Zon1l1g complIance and allows constructIOn to commence Befure occupancy, a Certlfi.cate of Occupancy must be
issued
Planning Director
Special Conditions. if any
Date
H hour notice for all inspections (952) .t.t7-9850, fax (952) .t.t7-.tH5
4646 Dakota Street Prior Lake, MN 55372