HomeMy WebLinkAboutFence Permit 08-0001
CITY OF PRIOR LAKE B
TEMPORARY CERTIFICATE
AND UTILITY CONNE
Date Rec' d
(Please type or print and sign at bottom)
I ADDRESS
r- LLO LC Un CiO/CS
I ;::::> ~ -...;l ~ ,,~
I White
Pink
Yella\.','
File
City
Applicant
FE/lJeE;
PERMIT NO. Of). OOD IJ
t-/luu.--e;
ZONING (office use)
-5. (::,
Je/
LEGAL DESCRIPTION (office use only)
LOT +-BLOCK .3 ADDITION 75/c--c' (JIGS VI (., t. 6 ;-II U 5,- 4- 77T
PID 25 02/. (1 /(P. 0
/1NG,~&H
HOEHNE:
~e):)q0J~t?JIc--S3{)3
(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: OLR.C. OLB.C. )(MiSC
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
Fe-NeE ~Prlvac!jlct1an~ /,tiL
PROJECT COST IV ALUE $
(excluding land)
x
hed mf'Jrmatwn on this applIcatIOn whIch IS to the best of my knowledge true and correcl. [also certIfy that I am the Owner or authollzed agent I,)r the
that alleonslructlOn wIll conform to all eXlStmg state and local lows and wIll proceed 10 accordance with submItted plans I am aware that the buIldmg
, [lIS P for Just cause Furthermore, J hereby agree that the CIty official or a deSIgnee may enter upon the propeny to perflJrm needed mspeetlons
cd
Contractor's License No.
$
$
$
$
$
$
$
$
$
Permit Valuation
Permit Fee
$
$
$
$
$
$
I $
$
Park Support Fee
SAC
#
#
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
3. u ,It;
Paid
Date
Date
ThIS IS to CITllty that the request 10 the above applIcatIon and accompanYll1g documents is ll1 accordance WIth the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the Clly Planner Clll1stltutes a temporalY Certlfkate of Zonmg complIance and allows constructIon to commence Bet,,,c occupancy, a Certlficatc of Occupancy must bc
issucd
Planning Director
Special Conditions, if any
Dale
24 hour notice for all inspections (952) ~~7-9850, fax (952) 4~7-~2~5
4646 Dakota Street Prior Lake, MN 55372