HomeMy WebLinkAboutFence Permit 08-0018
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I PERMIT NO. O~ - {gJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
1 Yellow
File
City
Applicant
(Please type or print and siltn at bottom)
ADDRESS
E>3t..PLj-- 6P IZ.JL,{ L 6 "T1<..A J L. 6t<J
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Date Rec' d
ZONING (office use)
OWNER J j rA L
(Name):JiYlL.---+ha.-n +' SJ-Laf) n6Vt J ~~ ! (Phone) Q!524-t5'J 01'75
(Address) ~~LR4- XOf<.UCe.., '-rK2..tLi LS-uJ ~M./ La~
BUILDER
(Company Name)
(Contact Name)
(Address)
Ol-Un~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlon OAlteration o Utility ConnectlOn
'F-f:).Jc...t:
I II III IV V
ABE...I.aHI M
{lJ 2 3 4
te,' - PiL.' ~A.c.I(
w&;, D
ORe-Siding OLower Level FinIsh 0 Fireplace
~C6
CODE: ~.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
o Mise
A
R
5
B
S U
PROJECT COST /V AI.UE $
(excluding land)
I hereby certlly that I h;lVe hlrnlshed IntiJrmatlOn on this applicatIon which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent tor the
abow-mentlOned property and that all CllnstructlOn Will conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans I am aware that the blUldIng
~jiCI:a .ev ke tillS permit lilr Just cause Furthermore, I he' 'by agret> th the City official or a deSIgnee may enter upon the propeny to pedclfm need~l~' / 0 Ii'
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
i $
I
I $
$
TOT AI. DUE
Water Meter Size 5/8"; I";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer/Water ConnectlOn Fee
#
Water Tower Fee
#
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Date
$
$
$
$
$
$
$
$
$ 0-
This Application Becomes Your Building Permit When Approved
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ThiS IS to certify that the requL'st in the above application and accompanYlllg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. TillS doclImcn ~
~\'hL'n signed by the CIty Planner constItutes a temporary Certificate of Zonlllg compliance and allows constrtlctlon to commence Before occupancy, a Certificate of Occupancy must ~l't o-r--
IsslIed
Paid
Date
Receipt No,
By
Planning Director
Date
24 hour notice for all iuspcctions (952) 447-9!l50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
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5/21/20087:15 AM