HomeMy WebLinkAboutZoning Permit (fence) 11-0007 �j� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � ' � �\ � TEMPORARY CERT[FICATE OF ZONING COMPLIANCE � � � � �
" ���`�' AND UTILITY CONNECTION PERMIT
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�r E S o �
i wi,�«� r�i�� pERMIT NO. �
2. Pink CitY � �—'
3. Yellow Applicun�
(Please tv e or rint and si n at bottom)
ADDRESS ZONING (ufficc use)
5883 Shannon Cir SE Prior Lake, MN 55372 �,� �
LEGAL DESCRIPTION (office use only)
LOT `�� BLOCK Z ADDITION f�L� � ��- ��� �' L- pID 2S. ��� d Z�_�
OWNER Joe Heinicke
(Name) (Phone)
612.270.7741
(Address) same
BUILDER
(Company Name) self (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
i ❑Addition ❑Alteration ❑Utility Connection
I , � W .� :� [> �r� N ��%C�
CODE: ❑I.R.C. ❑I.B.C. �Misc: �
Type of Constniction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALLTE $ ?
Division: 1 2 3 4 5 (excluding land)
I l�crcby certify that I havc hirnished information on this application which is to the best uf my knowlcdge truc and coirect I also certify that I am dic owner or authorized agcnt for thc
abo��c-mentioned property and that all consmuctio� will conform tu all existing state and local laws and will prucced in accurdance with submitted plans. I am aware that thc b�ilding
ofticial can revoke this permit for�ust-qaus� Furtl�cr e, I hereby agree that the ciry official or a designee may cnter upon the property tu perform necded inspections.
X :� " i',: J , �✓,`� 'a ¢, i Z- , % /
Signatur�� 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 $
I Gas Fireplace Permit Fee $ TOTAL DiJE $ �'
This A lication ecomes Your Buildin Pennit When A roved ' ' ---` �
PP � g PP Paid �-- --��"--' Recei ��
� �" Date l Z ( J B
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uildim= O�Iicial Datc
This is to certify that the request in tl�c above application and accompanying documents is in accordance with the City Zoning Ordinanec and may prucced as rcquesred. This documci�t
when signed Uy the City Planner constitutes a temporary Certifica[e of Zoning compliance and allows construetion to eommenee. Before occupancy, a Certificate of Oeeupancy must be
issucd.
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