HomeMy WebLinkAboutFence Permit 07-0023
Date Rec' d
CITY OF PRIOR LAKE ~RMIT'
TEMPORARY CERTIFICATE ZONING MPLIANCE
AND UTILITY CONN MIT
r;, .I'f-. 07
1 White
Pink
Yell('l\~!
File
City
Applicant
PERMIT NO'/J7.0oZ3
ZONING (office use)
;?;lJ K~ j,-t/dV 0
.-
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LEGAL DESCRIPTION (offlce use only)
LOT
BLOCK
ADDITION
OWNE~
(Name) obu-l
A,-,-I.X>~
PID 2$'"'. s17. 01 c;-. 0
(Phone)
q $2- Lf l1..-lt,~'f9
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAdditlon OAlteration OUtility ConnectIon
ORe-Siding OLowe;fe}el F;;~ J I~gslace
k7u'~ t I eeP;fLf~"'~(!.V
, ,
CODE: ~.R.C. OI.B.C. ~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)
I hereby certity that I have hlrmshed mformatllln on this appllcatHJn whIch IS !ll the best of my knowledge true and correct I also certIfy that I am the owner or authollzed agent flll' the
abovc-m' III ed prnperty and that all constructlon wIll conform to all eXlStmg state and local laws and will proceed in accordance with submItted plans I am aware that the bUlldmg
official an r okc tlus xTmlt h . Just cause F thcrmorc, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspcctHlOs
--~
Date
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechamcal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
I ~ ~ {g/I'I/D7
! HlIildll1~ Unlcial Date J
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 I $
Other $ d
TOTAL DUE $ )V
\paid~-
Date' . 1)7
i~~fK
-
Tim IS to certIfy that the lequest In the above appllcatmn and accompanYIng documents is m accordance with the City Zoning Ordmance and may proceed ,IS requested TIm document
when signed by the CIty Planner constltutes a temporary CertifIcate of ZOnIng complIance and allows constructIon to commence Bef"le occupancy, a CLTtlficate of Occupancy must be
Issued
Planning Director
Special Conditions. if any
Date
24 hOllr notice for all inspections (952) ....7-9850. fax (952) ....7-..245
4646 Dakota Street Prior Lake. MN 55372