HomeMy WebLinkAboutFence Permit 07-0022
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I PERMIT NO. 2 Z- -Q71
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Applicant
(Please type or print and si?;n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT;?- BLOCKd- ADDITION PrlO'r
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OWNER
(Name) AtVTHOiJY 3. rS.~K.Ak K sR,
-5 l-fJilJlJOV fR. / .$ G
(Address)
'J-71,
i BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
ZONING (office lIse)
(Phone) 9 5 Z - '-I 4 ? - 5 '? 3 7
PA..Iof\ ,tAft e, UIU, 5~~ '7l..
<; tEL t=-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
OAdditIon OAlteration OUtlhty connectlOn;4
~ 0 Mlsc
CODE: .R.C. I.B.C.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
~
PROJECT COST IV ALUE $ iC--Sr: ~2 (/ c _..~_
(excluding land)
I hereby certify that 1 haw hlrOlshed ml<lImatlOn on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner m authonzell agent 1<11 the
abow-mentlOned property and that all constrUCtIon wJlI contiJrm to all eXlstmg state and local laws and will proceed m accmdance with submJtted plans 1 am aware that the btuldmg
:11C1,1I cc~ 1111: pel~m J~IZ{;t:hel~ hl7bY aglee that the City offjClal m a deSIgnee may enter upon the plOpeny 10 pelfnrm needed mspectlons
SIgnature Contractor's LIcense No J),lte
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mecha11lcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
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
~~
Building Unlclal
~/J 2-/07
I Date
Paid
Date
I $
I $
I $
I $
! $
I
$
$
$ -4J
$
-
Receipt No.
By
ThiS IS to certify that the request in the above applicatllJn and accompanYlIlg documents is In accordance v./ith the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constitutes J temporary Certifi.cate uf ZUlllllg compliance ,lnd allows construction to commence. Bcfnre OCCUP;lI1CY, ,1 Cntltic.ltL' of Occupancy must be
issued
Planning Director
Date
24 hOllr notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
LOT 2
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SHANIIIONTRLSE
15341
5791
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S/E
5795
153!lS
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5/3012007
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5/30/2007