HomeMy WebLinkAboutFence Permit 11-05U Qt CITY OF PRIOR LAKE BUILII7IYC PERMIT, Date Recd
TEPORARY CERTIFICATE O ?nlvrxr_
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AND UTILITY CONNECTI RMIT
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I. White File
2 pmk cn PERMIT NO. _ S
3. Yellow Applimm
(Please type or print and sign at bottom)
ADDRESS
I it z 1 �1 -wx ant A
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER //��
(Name) ft is lY A pr S (Phone)
(Address) N Z-11 S - lc L f, ✓t P NEr friar t cdrx, e4 b' 55 � 7 L
BUILDER
(Company Name) n M ,I e ^ �a- �.�.a1+ PVhn Lt° (Phone) /
(Contact Name) ii R � er5o n (Phon ) l - / �S� - 2-4z
z 2
(Address) E 2- S7 � VPt ' ic tivn-e 61e Sew{` 5f P In d" - ;s 7S
TYPE OF WORK D New Construction ❑Deck []Porch DRe- Roofing []Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: E]LR.C. QLB.C. �Misc:
q C lw ,� 1 !< ! Pn re
Type of Cunstructium I It HI IT V A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished insemination on this application which is to the best ofmy knowledge true and correct. I also certify that I son the owner or authorized agent for the
above - mentioned property and that ell construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the budding
official can revo permit for just cause. F nre, I hereby agree that the city olficial or a designee may enter upon We property to perform needed inspections.
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Signature Contractor's License No. ( Dat
Permit Valuation
#
Permit Fee
$
Plan Check Fee
$
Water Meter Size5 /8 ";1 ";
State Surcharge
$
Pressure Reducer
Penalty
$
Sewer /Water Connection Fee
Plumbing Permit Fee
$
Water Tower Fee
Mechanical Permit Fee
$
Builder's Deposit
Sewer & Water Permit Fee
$
Other
Gas Fireplace Permit Fee
$
TOTAL DUE
Park Support Fee
#
$ N
SAC
#
$
Water Meter Size5 /8 ";1 ";
$
Pressure Reducer
$
Sewer /Water Connection Fee
#
$
Water Tower Fee
#
$
Builder's Deposit
$
Other
$
TOTAL DUE
$
Thi plfcation Bee s Your Building Permit When Approved Faid Receipt No.
l� 2 O`'I —U � Date B —I�
uddine Official Dale
This is to eciTtry that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Befom occupancy, a Certificate of Occupancy must be
issued.
4646 Dakota
S'wwY MEALRED Fpl:
BRANCALE.CONST
19309 SHORE A N. E 55371
PMOR LAKE,
VWby EnO Ce .r IOC.
SURE IM C . 16820 FRANKLIN MAIL
FIMWLIN
LAKE, AIIL OFFICE �3i2N1UN
TF.LEPH(ME f812) 447-2070
7
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OESOMPTIONI
Let 17, 630ok n, SANG POIHTE 4111 AnIIITIN, Scott County, Ninnanota, oleo ahoNlsg the locatten of
the pro,o aed I..... e. staked tble 111, daY of Hner.L, 1906.
HDISS:
S.M. eI, 902.12 'rop nut o[ hydrant @ 00:
Lot. 19 and 20, Moak 4
960,6 deentes existing grade elevation
k
9621 denote. ptspu..d finished 9r.M
+-- Mnot.. pto,o..d dlreeticn of .0
get gacags slab d elevation 962.
get top of foundation @ elevatic
I
VALE IN PUT
• DengNe Man ...modes mm"
I IMaw ceffHY RW We Wv/1
6fUNeweIYINbyOA pA6 Nfaf 1 O
MF II IM a � a On 8� a
ptM N - s �/G l lewtH IID. L7183
R YIW 9/7/96 10 show mw VOPOsal Edlgee
1.11on.
FILE W. 6200_.jW_ 124- .- 1tV....M
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Y
4 1 � „
r rio.l�_ I I
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- 126.04•-
N89'50'I -W .carps
0
OESOMPTIONI
Let 17, 630ok n, SANG POIHTE 4111 AnIIITIN, Scott County, Ninnanota, oleo ahoNlsg the locatten of
the pro,o aed I..... e. staked tble 111, daY of Hner.L, 1906.
HDISS:
S.M. eI, 902.12 'rop nut o[ hydrant @ 00:
Lot. 19 and 20, Moak 4
960,6 deentes existing grade elevation
k
9621 denote. ptspu..d finished 9r.M
+-- Mnot.. pto,o..d dlreeticn of .0
get gacags slab d elevation 962.
get top of foundation @ elevatic
I
VALE IN PUT
• DengNe Man ...modes mm"
I IMaw ceffHY RW We Wv/1
6fUNeweIYINbyOA pA6 Nfaf 1 O
MF II IM a � a On 8� a
ptM N - s �/G l lewtH IID. L7183
R YIW 9/7/96 10 show mw VOPOsal Edlgee
1.11on.
FILE W. 6200_.jW_ 124- .- 1tV....M