HomeMy WebLinkAboutZoning Permit (fence) 10-0031 o� pR ' O R CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZO1vING COMPLIANCE v.7 �2v_t v
" AND UTILITY CONNECTION PERMIT
��NMES�
i. wn� F;,� PERMIT NO. t � — ��
2. Pink City
3. Ydbw ApplicaM
lease e or rint and si at bottom
ADDRESS �S�Q� S��. ��C(,E $� ZONING(ot�iceuse)
�2 � L�F1L e � 1�M� 5~S 37 �-
LEGAL DESCRIPTION (o�ce use only)
LOT BLOCK ADDITION p�
OWNER � ��
(Name) � 4 FRS�� (Phone) �S Z - y �I '7 � y 5 (o �i
(Address) S�F J�, A�,�F
BUILDER
(Name) N � (Phone)
(Contact Name) /V A� (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidin
B
�Lowes Level Finish ❑ Fireplace �Addidon DAiteration QUtility Connection
1
Misc. �� � �� � PROJECT COSTNALUE (excluding iand) S �� • d �
I hereby certify that I have fiunished information on this application which is to the best of my 3mowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aw�are that the building afficial can revoke this permit foF just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the gro t6 needed inspections.
x .,�`'��"%/i'-�- N� �� Zo-
`'� � .� Signature Contractor's License No. Date
Permit Valuation o �( � Park Support Fee # $ A!�
/�✓
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8";1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Ciry SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ � E
T's Application Bew e our Building Permit When Approved Paid Recei t No. /I//�
l Date N B /�
`7 �
uilding Official Date
This is to certify that the request in the above application and accompanying dauments is in accordance with the City Zoning Ordinantt and may proceed as requested. This document
when signed by the Ciry Planner constitutes a temporary Certificate of Zoning compliance and aliows coact[uction to commeace. Before occupancy, a Cectificate of Occupancy mast be
issued.
Planning Director Date Special Conditions, if any
24 6our notice fos all inspections (952) 447-9550, fax (95�) 447-4245
1620Q Eagle Creek Avenue Prior Lake, MN 55372
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