HomeMy WebLinkAboutFence Permit 07-0024
CITY OF PRIOR LAKEiaERMITl
TEMPORARY CERTIFICATE F ZONING OMPLIANCE
AND UTILITY CONN MIT
~
I PERMIT NO.
Date Rec' d
6. If;.. r;'l
I
F~~
c?2y I
(Please
ADDRESS
n at bottom)
i5 ~~ c-Z y
t:-)() IIV'; 120..
/5311
I White
Pink
Yellow
File
Citv
Applicant
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
W~t 11 C
R t:x jIJ 9 /) ~
(Address)
(Phone)
9.52 - 22..1, .~ 2&7 ,
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) tJ.t"z. - Z l-t '" Z-6 1 /
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
DAdditlOn DAlteration DUtthty ConnectIOn
CODE: DI.R.C. DI.B.c. IV V A B ~MlSC
Type of Construction: I II III r
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level FinIsh 0 Fireplace
RN~-
. ~. ~
(p' c'flJ/he.- /PAI ~
PROJECT COST /V ALUE $
(excluding land)
I herchy certify that 1 have turmshed Information on this application which IS to the best of my knowledge true and COlTect I also certIfy that I am the owner or authorIzed agent fur the
abow.mentlOned property and that all CllnstructlLln Will COnf(lrm to all eXlstmg state and local laws and Will proceed in accordance with submitted plans. 1 am aware that the buildmg
()fticial can revoke tl1 crmlt for Just cause Furthermore, I hereby agree that the City official or a desIgnee may enter upon the propc11y to perform nccded mspcctlons
x
Signature
~~-
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
TaPPlicatio~ Bec;es ~ ;~: Building Permit When Approved
~ ~ ~1/?ilo7
,
l~lllldlllg Ufficial
Date
Contractor's License No. Date
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 $
Paid ReceIpt No.
Date By
ThiS IS to certify that the request in the above applicatIOn and accompanYlllg documents is 1I1 accordance with the City Zoning Ordinance and may proceed as requested ThiS d(lCUffient
when Signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a ClTtlticatc of Occupancy must be
[...sLlcd
Planning Director
Special Conditions, if any
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372