HomeMy WebLinkAboutFence Permit 08-0034
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
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(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtlhty ConnectIOn
CODE: DI.R.c DI.B.c. IV V A B )fISC
Type of Construction: I II III
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certify that I have hlrmshed mt,'rmatlOn on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authof!zed agent for the
above-mentIOned property and that all construction will conform to all eXlstlOg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildlOg
offiCial can revoke thIS pelmlt for Just cause FUlthelmOle, I hereby agree that the City offiCial or a deSignee may enter upon the plOpelty to pel form needed lOspeCtlons
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Signature ~ ,,,--b(' )(1 Ii ,. ~ ~p/'y.'7fontractor's LIcense No Date
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1
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Per~it Fee
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This Applicatio
I.ri! our Building Permit When Approved
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I dll1g Official.
Date
II
Date Rec' d
I While
Pink
3 Yellow
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PERMIT NO'Of'_ c(; 34-.
File
City
Applicant
ZONING (office use)
PID
(Phone)
(Phone)
ORe-Siding OLower Level Finish 0 Fireplace
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PROJECT COST IV ALUE $
(exduding land)
Park Support Fee
$
$
$
$
$
$
$
$
0'
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
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Rece~
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Paid .___...---=
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ThIS IS to cehlY that the request 10 the above application and accompanYlOg documents is 10 accordance With the City Zoning Ordinance and may proceed as requested. ThiS document
when signecMy the Cay Planner conslltutes a temporary Certif,cate of Zomng compliance and allows construcl1on to commence. Befme occupancy, a Certtticate 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