HomeMy WebLinkAboutFence Permit 07-0035
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8. zo, 07
1 White
Pink
""ellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
v/e-W )(D.
;V/V
/5707 /J&/1AJO
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
... L Johtl d- fYIyrfJU hr/' /1,,,,
(Address) ! S 761 J5laYld I/lfW Rc-( NuJ-
PERMIT NO. 07-35
ZONING (office use)
PID
~d-XJ&-3LJS/p
i)R/~t2 ~I? I Mn 5537)
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
CODE: ~LR.C. OLB.C. o Misc.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: ~ 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
~o
I hereby certity that I have turnIshed InformatHln on this apphcatlon which IS to the best of my knowledge true antI CO!Tect. I also certify that I am the <>wner or authollzed agent lor the
ab<>ye-mentHlned property and that all n: ructlon Will conform to all eXIsting state and local laws and will proceed In accordance wIth submilted plans I am ,Iware that the building
()ftls'ial can r' tillS pcrmlt for Just c Furth<..li'rnor" I herchy agree that the City official or a desIgnee may enter upon the prope11y to perform needed lnspcctllms
~-w
Contractor's License No.
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Paid
Date
Ilulldllli-' Urticial
?/G% 7
I
Date
# $
# $
$
$
# $
# $
$
$
$ 2f
,
Receipt No.
By
Tins IS to certify that the request m the aboye apphcatllll1 and aCCllmpanymg documents IS m accordance with the City ZOning Ordinance and may proceed as reqllested TIllS docllment
when signed by the City Planner CllnStItutcs a temporary CertIficate lIf ZlInmg comphance and allows clInstructlOn ILJ commence Bcfme occupancy, ,j Cel tIticatc of Occupancy must be
i.."iSlH'd
Planning Director
Date
2.t hOllr notice for all inspections (952) .t.t7-9850, fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Scott County
Page 1 of 1
15707 ISLAND VIEW ROAD r~..,c6 ~
1'661- Fe-x:-E:
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This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one, This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only, Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office,
"1 .~
!SCott
w.'
!l
August 20, 2007
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