HomeMy WebLinkAboutFence Permit - 08-0047
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PERMIT NO. 0 a. 004-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
(Please
ADDRESS
1ft z(P4- ;/l?AI1IIGt/t'/0 CAlL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-5. (':;,-7, 0 If": 0
OWNER
(Name)
,JVOI'TJ-{
'6IC-C) ~A/J
(Phone)
(Address)
BUILDER _ /
(Company Name) IJ~ ~ ~'Tf,~(~ ~~ 35/ ~;t[!,trL 1(''''-11 l'IlLrK
(Contact Name) 1l1(>-"""'Iv(Il'l (j(t?tJ 2-/7, IfvJ;';
(Address) 971-'- viE! I~UJ .57nFff 6Th\)
(Phone) 9)' i. ~ <1 t{ If - <1 G'?-Y'
(Phone)
/'() ~y>i
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtihty Connection ~
CODE: DI.R.C. DI.B.c. r>1SC
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
fl:NW - efl (!/T,RI r./ L-I tJ ~
PROJECT COST IV ALUE $
(excluding land)
I hereby eertifY that 1 have hlrmshed mtlJrmatlOn on this applicatIOn which IS to the best of my knowledge true and correct. I also certifY that 1 am the owner or authOrized agent for the
above-mentIOned properry and that all cunstructlOn will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
:Iicial :::~~~:~~\JI~U"t o"'~hermore. I hereby agree that the Clry Offlci:zr ;;e"]-;3 ;eif"'ithe property to perform needed,n:jI7; / ~ ~
Signature Contractor's License No r Date'
IO.l!>,08
Date
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
Permit Valuation
Park Support Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
TOTAL DUE
ur Building Permit When Approved
ThIS IS to certlf t at the request m the above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and m, y proceed as requested. ThIS document
when signed by the CIty Planner conSl1tutes a temporary Certitkate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerl1ficate of Occupancy must be
ISSlH.'d
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