HomeMy WebLinkAboutFence Permit 07-0038
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 White
Pink
Ydlm\,
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
S()/VI2RY ~I ~U6
/7387
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
~/Yl {; I VJ l'"t7Y1f,
f/ (/
(Contact Name) '7 / 'yv7 F t?""Y1/.', I J,.-1
/ Ll-g-J.t; r: V/~ ~ ~c?v'e J-A/~
q.l.-1,01
PERMIT NO. 01, 003 f>
ZONING (office use)
te-Z,bO
PID z.,r: 2-30. O(7~O J
i BUILDER
(Company Name)
(Phone) 6/;2- '1C(O - ~x 7tf-
(Address)
(Phone)
.A/-c'W ?/"a-pe /-r1rJ ~~7/
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAdditlOn OAlteration o Utility ConnectIOn
ORe.Siding
OLower Level Fil1lsh
o Fireplace
V
M
4
A
R
5
B
S U
';iMisc[eN&6 - tp:)/I~ .J"Pt.-(T .eA'/t.-
PROJECT COST /V ALUE $
(excluding land)
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group:
Division:
I
E
II
F
1
III
H
2
IV
I
3
A
B
I hereby certlty that I have turnlshed I 'matHln on this application which IS to the best of my knowledge true and correct I also certify that I am the OWDer III authollzed agent ten the
above-mentHlned mperty aDd that mstructiun Will conf(nm to all eXlStmg state and local laws and Will proceed m accordance with submllted plans I am aware that the btllldmg
ntfICial c '~"'~',r'..'rmlt for . cause Furthermore, I l(ercby agree that the CIty official or a deSignee may enter upon the propelty to perform needed mspcctlOlls
X ~~Z/ %77~~/'? q-;;'7-C7'~
, Signature Contractor's License No. . Date
Permit Valuation
Permit Fee $
Plan Check Fec $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
I ,
Tw, Aimk'ld,ng P'~'7~~t'd
, HuTId1l1g Urn(ial -. J I Dat, I '
__ ~ I
Paid
Date
# $
# $
$
$
# $
# $
$
$ 0
$
Receiot No.
By
ThiS IS to certlty that the rcquest Il1 the abuw application and accllmpanymg dllcuments IS Il1 aCCIlrdance wllh the City Zoning Ordmanc, and may proceed ,15 requested ThiS d"cument
whcn signed by the City Planner conStitutes a temporary Certlficate of ZOlllng cumpllance and alluws cunstruCtlon to commence. Before uccupancy, a Certlticate uf Occupancy must be
IsslIed
PlaDDing Director
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
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