HomeMy WebLinkAboutFence Permit 07-0037
TEMPORARY CERTIFICATE
AND UTILITY CONN
CITY OF PRIOR LAKE B NG PIDmIT.
F ZONING C PLIANCE
RMIT
White
Pink
"ellow
Date }lee 1 J
9. II. 07
ra./~-
PERMIT NO. 07,0037
File
City
Applicant
(Please type or print and sil:n at bottom)
ADDRESS
/1-593 I1APL-6
Tk:.L- .
5"1~
ZONING (office Lise)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION 0/1 t:::.LAA/O ISE,q-v-! 4- 77f
PID 25: /38. OZ o. 0
OWNER
(Name)
~AV~
/'
(Phone) g~;2-'/!L7-.~~f
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 Ncw Construction OOeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility ConnectIon
ORe-Siding OLower Level Finish 0 Fircplace
CODE: OLR.C. OLB.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
XMiSC
~F;JJ ~
I
- & p 10/1/ /rCAf
,
4-'
$
.47Jb
~IIV
L.--I NiL
U
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have furnIshed mformation un this application which is to the best of my knowledge true and correct. I alsn certify that I am the owner Ill" <lllthof!zcd agent for the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
~Ii~';~t~ust cal e F~rthermore, I h~at the City official or a deSignee may enter upon the prupelty to perflJrm_neede3:tI7/_n
"Signature Contractor's License No. Date
Permit Valuation
Plan Check Fee
$
$
$
Park Support Fee
SAC
pproved
Paid
Date
# $
# $
$
$
# $
# $
$
$ 0
$
/
Receipt No.
By
Permit Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fcc
Mechal1lcal Permit Fee
Pressure Reducer
Gas Fireplace Permit Feet!
I / 4
PPlica.<iO 1 B 'O~.O.'!_B.'ildJn' P"'.l<
, C ^ -----,
llulidlllg ur;lcla ~ ~?V
"
$
$
$
$
$
Sewer/Water ConnectIOn Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
ThiS IS to certify that the request III the abl)\'c applicatiOn and accompanymg documcnts IS 111 Jccnrdance with the City Zuning Ordinance and m,lY pn)cecd as requested TillS document
when signed by the CIty Planner constitutes a temporal)' Certificate of Zomng compliance and alhJ\\.'s construction to commence Before l1ccupancy, a Certificate l)f Occupancy must be
Isslled
Planning Director
Date
24 hour notice for all inspections (952) ~~7-9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any