HomeMy WebLinkAboutFence Permit 08-0029
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1/08
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. CJ & _ (/02-9
(Please type or print and sil:n at bottom)
ADDRESS
S7Q/
S/f4A/AJOAl fJeA/t-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 2- BLOCK Z ADDITION
P/UOL
II/L-'C
PID
OWNER
(N ame)
R/VTHONV TJ/+/CH/C=-If
/
(Phone)
952-_ 4&/7. 5737
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditIon OAlteration o Utility Connection
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. DI.B.c. )( Mise
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
F13vt!6 - 8 lOr ~ Imu ) Fe1vG.<;;
'- ,/
PROJECT COST IV ALUE $
(excluding land)
I hereby certity that 1 have fur1l1shed IIlformatlon on this application whIch IS to the hest of my knowledge true and correct I also certify that I am the owner 111 authonzed agent for the
abllvc-mcntlOl1cd property and that all construction will conform to allexistmg state and local laws and will proceed in accordance with submlttcd plans_ I am aware that the buildmg
official CJn revoke thIS permit for JlIst cause Furthermore, I hereby agree that the City officiator a deSignee may enter upon the prope11y to perform needed mspcctlons
x
Signature
Contractor's License No.
Date
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water ConnectIOn Fee
#
#
$
$
$
$
$
$
$
I
I $
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I",
Pressure Reducer
Water Tower Fee
Builder's Deposit
Other
Th;, A""<02 Be 0 "
1)6M'ffl'!! U11icial
/1
our Building Permit When Approved
Paid
Date
----
7 I ul/
(
d
/) /1_-
~1i~
$
Gas Fireplace PermIt Fee
TOTAL DUE
(-I at;
Dale
TI1IS IS to cel/ty that the request 111 the above applicatIOn and accompanYll1g documents IS 111 accordance With the City Z01l1ng Ordinance and may pn>ceed as requested TIllS documcnl
when signe'(by the City Planner constitutes a lemporary Certificate of ZOlllng compliance and allows constructIOn t,) commence. Before occupancy, a Certificate of Occupancy must be
issllcd
Planning Director
Date
24 honr notice for all inspections (952) 447-9S511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
Page I of I
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5/30/2007