HomeMy WebLinkAboutFence Permit 08-0039
Date Kec'd
8- 2~lI~
I White
Pink
Yellow
File
City
Applicant
(Please type or print and sil:n at bottom)
ADDRE)S
r ~<ik"
'1
C\.f"'('~~ ~//\
C1
~ts
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~J
,,~/
I
(Phone) !j\:~) ..
((Lf7- 7W~
OWNER/' C1
(Name) L/c.Rv() <
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
~13vC 6
PERMIT NO.B, oo~9
I
ZONING (office use)
PID
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing
OAddition OAlteration OUtility ConnectIOn
ORe-Siding OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.c. o/iSC
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
fer) ee;'
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have furnISh tlll'matlOn n this applicatton which IS to the best of my knowledge true and correct. I also certifY that I am the owner or authol'lzed agent for the
abovc.mr::,ntto cd property and at all construct' n will conform to a.ll existIng state and local laws and will proceed in accordance with submitted plans. I am aware that t.hC buildIng
ntlicial ca evnke thIS permll ~ r Just cause Fu hcrmore, I hereby agree that the City official or a deSignee may enter upon the property to perform n(..e~nspectlnf , .
X C) (.C' - %/.l;/q/
\.......-/ Signature Contractor's License No. / 'Date \.
Permit Valuation
/
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; 1";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
e mes Your Building Pennit When Approved
Pai~ ./
Date & ~~_ vF
& .;/ f. lib'
Date
# $
# $
$
$
# $
# $
$
$ ()/
,1 $
r ...
II
ThIS IS to ~ertlfY that the request in the above applicatIOn and accompanYIng documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS dncument
when signed by the City Planner constItutes a temporary Certificate of ZOnIng compliance and allows constructton to commence. Before occupancy, a Certlticate nf 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