HomeMy WebLinkAboutFence Permit 08-0054
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
H. 2,0. o/:)
I White
Pink
Yellow
I PERMIT NO.
54-
File
City
Applicant
B-
(Please type or print and si~n at bottom)
ADDRESS
/5S-09
~FO
,
ZONING (office use)
LD
;;J/fr5
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITlON
PID
OWNER ./ . _
(Name) /' /rd"P-Uf
v -
(Address) ? /9-,..,.,., F
BUILDER
(Company Name)
(Contact Name)
(Address)
tI
#5
f::t/Y\ B- (PhOne);?!"? :d;J6'- h' ~ %'1
~g/y~
~.s5" /t' ,,4
-;?'~ ~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
~c
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
ORe-Siding OLower Level Finish
--
/-p-~~-
o Fireplace
B
I
E
PROJECT COST /V ALUE $
(excluding land)
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
to I existing state and local laws and will proceed in accordance with submitted plans I am aware that the building
-eb gree that the Clty official or a desIgnee may enter upon the property to perform;; b;A y
Contractor's License No. Date
$
$
$
$
I $
I $
I
I $
I
I $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other Ft'n t"'t' f?r """ '-1-- $ - ~
v.'-
TOTAL DUE $
This Application Becomes Your Building Permit When Approved
~~~-
./ Buildll1g Oflicial
/"
/t!~r
~
Paid
Date
Receipt No_
By /~
-
.
J//::Z C)
/
ThiS IS to certify that the request 111 the above applical10n and accompanYing documents is In accordance with the City loning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of lonlng compliance and allows constructIOn to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning 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
IMUllNG PERMIT SUR\'EY PREPARED FQR:
.. IlEA.. C/O IllCRT 1IUII
12100 _.:w,D A\IDlUE
PRIOR LAKE. .... 55372
VM1&Y __ co.. P.A.
18870 FRANICLIN 1RAIL SE
SUI1E 230
PRIOR LAKE. loW 55372
(852) 447-2570
/
/
/
NOW1'H UN! 01" LOT I
-. 132.71 ' ll.OCk I, .NlNOI ADDITION
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