HomeMy WebLinkAboutZoning Permit (fence) 10-0033 oF PRlp� �Y ""' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�� �' AND UTILITY CONNECTION PERMIT �7�� —� V
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2 Pmk ��� PERMIT NO. ` U_ 3 3
3 Yellow Applicant
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ADDRESS ZONING (otTice use)
�C �- ��vc- 1-l��wkS �,c �toc�. �.�k�, V�� ��3�-�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER , � �l a3� - y� �
(Name) T �T� � � � � v�. lr—t—�L (Phone)
(Address) � (p�-( ",y— �� J�(nS�L ' iZ �.. y� - �j
BUILDER
(Company Name) �, �� (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ F�replace
❑Addinon ❑Alteration ❑UtilityConnection ��
CODE: ❑I.R.C. ❑I.B.C. �IM�sc. ��/�"� "��- �/�4tiZ� n/� 1r�) �.1�(XXit
Type of Construction: I II III IV V A B pROJECT COST/VALLTE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hemby ceruty that [ have hrrmshed mformahon on th�s apphcahon whuh �s ro the best of my knowledge rrue and conect I also cerufy that I am the owner or authonud agent for the
above-menuo operry and all constr icuon will confo to all existmg state and local laws and will proceed m accordance wrth submrtted plans I am aware that the buildmg
official can vok this erm or�u cause urtherm , ereby agee that the ciry official or a designee may enter upon the property to perform needed mspecaons
X
Sign Contractor's License No Date
Per it Valuation ��(,�� Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechamcal Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLTE $
This Application Becomes Your Building Pernvt When Approved Paid ReCel t No.
� � v �, Z � _f � Date B
Buiidma Utticial Date
This is to cernfy that the requcst m the above applicanon and accompanymg documents is m accordance wrth the City Zoning Ordmance and may proceed as requested Th�s document
when signed by the Gry Planner consututcs a temporary Certificate of Zonmg compLance and allows consa'uction to commence Befure occupancy, a Certificate of Occupancy must be
�ssued
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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