HomeMy WebLinkAboutFence Permit 08-0035
CITY OF PRIOR LAKE eRMJT.
TEMPORARY CERTIFICATE ZONING OMPLIANCE
AND UTILITY CONN RMIT
Date Rec' d
8,1/.08
File
City
Applicant
I PERMIT NO. ct.. (' Cl..:L~ I
I White
Pink
Yellow
(Please n at bottom)
ADDRESS
30Sfo 1.,q/c.E
H/9 V6/V C,()tJte- T
ZONING (office use)
R./..s D
LEGAL DESCRIPTION (office use only)
LOTIZ- BLOCK I ADDITION#Ote.:11t1VOOD dl9/<J' em7&S 2~.D PID z..5. 371 012-.0
OWNER
(Name) L~ I'1/fA(!,K.. ,
,
(Phone)
9 -1
JA
L/Vi7 '.7t,t5
,
t;
D~VID
nAIo/
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK o New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh o Fireplace
OAddition OAlteration DU,,"'y Co",,""" X:- rf;/Ve,&" - &1
Mise (.1137-"''1 fi'
CODE: DI.R.C. DI.B.c. "-~.._..
Type of Constmction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby ccrtity that I have hlrnished mformation on this applicatIon which IS to the hest of my knowledge true and COHect. I also certify that I am the owner ur aut!wr!zed agent for the
dbovc-mentlllned property and that all Cllnstructllln Will cllnfmm tll all eXlstmg state and Illcallaws and Will pmceed m accordance WIth submltled plans I am dware that the buildmg
~liCldl can reVllk~er ltcH ~ cause r;;;;,ore, ereby agree that the CIty llfficial ()f a deSIgnee may enter upon the propeny to pert(Jrm needed 1':J:(/2cT/
Signature Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
I $
$
TOTAL DUE
Plan Check Fee
Water Meter SizeS/S"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o es Your Building Permit When Approved
& . I Z (, f.:J
Date
$
$
$
$
$
$
$
$
$
Tim IS to ertlfy that the reqllest m the above application and accompanymg dllcllments IS m accordance WIth the CIty Zoning Ordmance and may pmceed as requeste,1 Tim document
when signed by the City Planner ClmstItutcs a temporary Certificate of ZOI1mg comphancL' and allows construction to commence Before occupancy, a Ccrtlticatc llf Occupancy mLlst be
i.sslled
Planning Director
Dale
24 hour notice for all iuspectious (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any