HomeMy WebLinkAboutFence Permit 07-0036
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8. ZO.07
I White
Pink
Yellow
Flle
City
Applicant
(Please type or print and siJ?;n at bottom)
ADDRESS
1'-1770 Cov<.. .Av~c..
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK---
k n e Q.fsCAoJ '..$
R -+ 9CA.\j l~ f~.s
(Phone)
ADDITION
COVC2.J
r;~.st
OWNER
(N ame)
5+c:. " U'\
(Address)
\Lt~..,() CcVfL ~""~
f .
BUILDER ~f OofPlita.b,c..J
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
I PERMIT NO. 7-3~
.
~~~~ T:f?'
PID ~ II ~-OO 3" 0
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility Connection
~c.<-
ORe-Siding OLower Level finish
o fIreplace
CODE: DI.R.r tI DI.B.c.
Type of Construe ion: I
Occupancy Group: A B E
Division:
~iSC
PROJECT COST IV ALUE $
(excluding land)
~JPr
B
S U
I hereby certify that 1 have rurmshed mfnrmation on this applicatIOn which is tu the hest of my knowledge true and correct. I also certify that I am the owner or autlwrlzcd agent for the
.lhnvc-mcntwncd property and that all nmstructlun wlll conform to all eXIstmg state and local laws and will proceed in accordance with submltted plans. I am aware that the building
':'OC"f "," "~'" , '''' m" '1ill!" ,,,,,"co mm, '",,,"' '." ,",n"",,, ,m,"' ," , ""c"" m" '''''' "Om '"'>'''m'''' ,., .' 'mm """"il/p'i () 7
~ ..... Signature Contractor's License No D,tfe
Permit Valuation
~
$ ,tr
$.-1
/"'f
$
$
$
$
$
Park Support Fee
SAC
Permit Fee
Water Meter Size 5/8"; 1";
Plan Check ,e
State S11rchatge
Pen, ~ I
Plunbing Pfrmit Ft'e
Mechanicallrermit Fee
Sewer & Water Permit Fee
Pressure Reducer
Sewer/Water Connecti~ I\e
Water Tower Fee \ ~
Builder's Deposit
Other
P\
Gas Fireplace Permit Fee
TOTAL DUE
Paid
Date
" .
~7
I
f ,
~C' B"a,:: P':;zZ::;
Hulldlllg Ulllel-l1 'D;/c /
# $
# $
~
$~
~~ 1'$
$
# $
$
$
$ ~
-
ThlS IS tu certify th:lt the requL'st in the above applicatlOn and accumpanYlIlg documents is m ilccnrdance with the City Zlming Ordinance and may pnlceed as requested TillS document
when signed by the City PLlIlnn ClmStltlltes a temporary Certiticate of Zonmg compliance and allllws construction to commence. Bcfure occupancy, II Certificate of Occupancy must he
issued
Planning Director
Date
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any