HomeMy WebLinkAboutFence Permit 07-0028
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
33/
13~/saty(1j W
LEGAL DESCRIPTION (office use only)
LOT 2.... BLOCK ~ ADDITION
OWNER
(Name) Go.. '{2.. V
/
(Address) 3.
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
PERMIT NO'O't_Z/3
'1:2.
ZONING (office use)
fl-J
PID Z)- -/'7 Z .-0 I,? -0
o fl- LoJ~ e
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility Connection
ORe-Siding OLower Level FinIsh
o Fireplace
F-E/A/ i~:G
.
CODE: DI.R.C. DI.B.c. 'f Misc
Type of Constmction: 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 /V ALUE $
(excluding land)
I hereby certify that I have tllrntshed mtiJrmation on this applicatIon which IS to the best of my knowledge true and correct I also certify that I am the owner or authollzed agent tor the
<lbnVl'-mcntlOnect property and that all nJnstruction will conform to allexistmg state and local laws and will proceed in accordance with submItted plans_ 1 am aware that the bUIldmg
~licnevOke tl115 perm Il)r t cause Furthermore. I hereby agree that the my official or a deSIgnee may enter upon the property tD perform needed mspectHlns
Permit Valuation
Permit Fee
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer & Water Permit Fee
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 I IT
"-
Other f'f\: 1 ~
TOTAL DUE $ \.../
Paid
Date
Receipt No.
By
ThIS IS to certify that the request in the above application and accompanYing documents IS 10 accordance with the City Zoning Ordinance and may procl'l'd as fequested ThiS document
when signed by the City Planner nmstltlltcs a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate ()f Occupancy must be
i.ssLlcd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspcctiolls (952) ~~7-985(), fax (952) 4~7-~245
4646 Dakota Street Prior Lake, MN 55372