HomeMy WebLinkAboutZoning Permit (Fence) 11-0005 �� Y R Ip�
CITY OF PRIOR LAKE BUILDIIYfa PERNIIT, Date Rec'd
U D� TEMPORARY CERTIFICATE O�ZONING �OMPLIANCE � � �
AND UTILITY CONNECTIO RMIT � y 7
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L White File PERMIT NO . � �� ��
2. Pink City �
1. Yellow Applicant
(Please e or rint and si at bottom)
ADDRESS ZONING (ot�ce use)
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LEGAL DESCRIPTION (oflice use only)
LOT BLOCK ADDITION PID
OWNER /'
(Name) � J`t11n �rv��ctvc� (Phone) l`? �l s�l Z� — G v? t/
(Address) � Z� � Jv� r': u✓' �� � Z—
BUII.,DER
(CompanyName) �'�5� ��'�'1 LP (Phone) ��� ' �` �" � ZZZ
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(Contact Name) ���Q_� 7��SuVI (Phone) �� l �s j` L� Z 2
(Address) 2 � �. �� l � Svv 7 �G �l ,� d " J� - CJ .S
TYPE OF WORK � New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fircplace
❑Addition ❑Al[cralion �Utility Connection
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CODE: ❑I.R.C. ❑I.B.C. �Misc: �/ \ � ��h �'� `� t_P/1 L�'
Type of Construction: I II III IV V A B '
Occupancy Group: A B E F H I M R S U PROJECT COST/VALITE $� Z�� i
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fumished information on this applicaaon which is to the best of my knowledge true and coaect. I also certify that I am the owner or authorized agent for the
above-mentioned property and [hat all construction will conform to all existing state and local laws and wffi proceed in accordance with submitted plans. I am awaze that the building
official can revo ' permi[ forjust cause. Fu ermore, I hereby a}�ee tha[ the city oRcial or a designee may enter upon [he property to pedorm needed inspections.
X �Y�-- �� � ? � ��
Sign re ` Contractor's License No. Date
Permit 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 # $
Mechanical Permit Fee $ Builder's Deposit $ ;
Sewer & Water Permit Fee $ Other �
Gas Fueplace Permit Fee $ TOTAL DLTE S �/
This plication Beco s Your Building Pcrmit When Approved Paid Recei t NO.
� ``�� _ Date B
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Buildin Official Date
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This is to ccrt�fy that thc rcquest in the above application and accompanying documents is in accordancc with the City Zoning Ordinance and may proceed as requested. This document g
when signed by the City Planner constitutes a temporary Certificate of Zoning eomplianee and allows construcuon to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Ylanning Director Da[e Special CondiUOns, if any
24 hour noticc for all inspecHons (952) 447-985Q fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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VWi�Y E�nO GO.� � • � � 'I
SI�PVL'Y PREif�L� i�� �� 120- C. Idd� �ANKLIM Tf1AIL f
BI?ANCi4LE . COVIIST. fMMKLIN T1►AIL OfFlCE COfM00hMN�UM ��
PR(OR LAf(E� MiMNES01'A 83D72 3�. t
14305 SHORE LANE TELEPMlM1E (612) 4A7-2070 ;:��s �
PR�OR L�KE� MN. 55.�72 M7•3241 '��`?3 I
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