HomeMy WebLinkAboutFence Permit 08-0008
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-, /ro. og
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO.
Of;. 000 e}
ADDRESS
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c;;; t;..
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
-:-
-..JAMes
It1I.!.. t:!/M:r'7
(Phone)
t, i l ,.. 9, 3 -5''79 7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility ConnectIon
ORe-Siding OLower Level Fins u,IShj ~ ~ ~1::I'::- / '" ..~'
pt; N ~ - ~ I , V '<...-cJ v~r, I _ I'--(J
PROJECT COST IV ALUE
(excluding land) I
I
CODE: DI.R.C. DI.B.c. ~iSC
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hereby certity that I haV(' tllInlshed mf"rmatmn on thIS applicatlUn which IS to the best of my knowledge true and COlTect. I also certIfy that I am the ownl'! or authOrized agent f'lr the
abllV('-menlmned pm erty and th all con llctlUn w nf to all eXIstmg state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
official [all revoKe rmIt for Just cal c Further or, I er 'by agree that the CIty official or a deSIgnee may enter upon the prope11y to perf{Jrm needed Inspections
'i - /t..--. 08
Contractor's License No.
Date
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
I $
$
$
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace PermIt Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
!paid ~
Date - "b.. c/ ~
Buildlllg Ultlcial
Date
ThIS IS to certity that the request in the above application and accompan)'lIlg documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes J temporaIY Certificate of ZonIng comphance and allows eonstructllln to commence. Before occupancy, a CertIficate of Occupancy must be
L'iSLll'd
Planning Director
Special Conditions, if any
Date
24 hnur notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372