HomeMy WebLinkAboutFence Permit 08-0014
CITY OF PRIOR LAKEaU PERMIT,
TEMPORARY CERTIFICATE ZONIN OMPLIANCE
AND UTILITY CONNE RMIT
(Please
ADDRESS
n at bottom)
/5300
FISH
Date Rec' d
I White
Pink
Yellow
Fe-N~
I PERMIT NO. (;e- p-/
File
City
Applicant
PT
ZONING (o!liee use)
f2.D .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DR.! V(5fi2
(Phone)
F~N/C
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAdditlOn DAlteration o Utility ConnectIOn
CODE: ~.R.C. OLB.C. ~iSC
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: ~ 2 3 4 5
ORe-Siding
o Fireplilce
Fe#C!e-
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have hlrntshcd informatIOn on this application which IS to the hest of my knowledge true and correct I also certify that I am the owner Of authOrized agent for the
ahl)Yl'-mcntlOI1cd property and that all Clll1strUCtlon will conform to all existmg state and local laws and will proceed In accordance with submItted plans_ I am aware that the buildIng
official can revoke thiS permIt for Just cause Furtl" ore, reby fee hat the CIty official or a deSIgnee may enter upon the propeIty to perf()rm needed IflspcctlOns
x
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
i Penalty $
Plumbing Permit Fee $ I
Mechanical Permit Fee I $
Sewer & Water Permit Fee i $
Gas Fireplace PermIt Fee $ i
This Application Becomes Your Building Permit When Approved
I~~
! Huildlllg Urticlal
#2.-/0 J>'
, , Dak
Contractor's License No.
:5 - :2 -08,
Dilte
Park Support Fee # $
SAC # $
Water Meter Size 5/8", I", $
Pressure Reducer $
Sewer/Water ConnectlOn Fee # $
,
Water Tower Fee # $
Builder's Deposit , $
I
Other $ /
TOTAL DUE $ ~
/
Paid
Date
Receipt No.
By
ThIS IS to certIfy that the request lfl the above application and accompanYlflg documents IS lfl accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the Clty Planner constltutes a tempur'lIY CertIficate of Zonlllg compIJanec and allows constructIOn to commence BcfllIe occupancy, a Cemticate of Occupancy must be
i,.'iSllCd
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake. MN 55372