HomeMy WebLinkAboutFence Permit 08-0025
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si?;n at bottom)
ADDRESS
I ~ Z (;0
o..k. R;~~~
-
elL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
I{c? ,.;
, S 2-, 0
~ST ('\;) '.... \eA
ofd k R tl.~(\ e.
--...
(Address)
i BUILDER
(Company Name)
(Contact Name)
(Address)
Q,.,...!~ y
~......J ...J
't
I White
Pink
J Yellow
File
City
Applicant
S-L:-
(Phone)
C;-I~
S-G
(Phone)
(Phone)
I PERMIT NO. 8 -'2 <)
ZONING (office use)
PID
q$""~- Y'-Ie '-Il,l".s
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
~iSC
ORe-Siding OLower Level Fimsh
~~c-e.
o Fireplace
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
III
H
2
IV
I
3
V
M
4
I
E
II
F
I
A
B
/J
I
l
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
<BI ODO .(\~
,/I
his applicatIon which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
Will conform to all eXlstmg state and local laws and will proceed 10 accordance with submitted plans I am aware that the bUlldmg
ermore. I hereby agree that the my official or a deSignee may enter upon the propel1y to perf(lrm neede6shr7o r
Contractor's License No. Date
I
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Firep~ perl F~ $
_ ...,,~uilding Permit When Approved
/"--------
./ [)at~
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
# $
# $
$
$
# $
# $
$ C
$ \'-
$
ReceiPt No.
By
ThiS IS to certify that the request in the above applicatiOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed iIS requested ThiS document
when signed by the City Pl;mI1eJ" constitutes a temporal)' Certificate uf Zonlllg compliance and alluws construction to commence Before uccupancy, tl Certificate ()r 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