HomeMy WebLinkAboutBuilding Permit 12.0011 Fence o f PRIO CITY OF PRIOR LAKE B 1 ING P R1MIT, Date Rec'd
TEMPORARY CERTIFICATE 0 ZONING CO PLIANCE ¢ /2— /( �
AND UTILITY CONNEC : ' " ._ IT
U e
4''HNESOt� I. white File
?. Pink City PERMIT NO. /2_ _ /
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS n
?5 � , — y c`�- c ZONING (office use)
,,/ L`/4-iL /t) -- 7 —
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) - / . Ah ieiL / ?( (Phone) bZ -- ` X — .7e92-
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
['Addition ❑Alteration ❑Utility Connection r
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. t/ tJ
Type of Construction: I II HI IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above-mentione. : . wily and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official ca. - oke this permit for dust cause urthermorc, I hereby agree that the city official or a designee may enter upon the property to perform needed inspect'. s.
.,r 4 _ '
-` Ar:. ture Contractor's License No. Da •
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 $ A
Gas Fireplace Permit Fee $ TOTAL DUE 111.5-
This Application Becomes Your Building Permit When Approved '�
pP g PP Paid Re -' � t�;s /igr
Date / • By OW r
Building Official Date
This is to certify 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. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director 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
A
Scot County MN
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This drawing is neither a legally recorded map nor pilatia survey of and is not Map Scal N
intended to be use
ta located in va
d as one. This drawing is a compilation reco,
information, and daorio us city, county, and state offic
es. and 1 inch = 40 feet
other sources affecting the area shown, and is to be used for reference
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purposes only. Scott County is not responsible for any inaccuracies herein
contained. If di s crep ancies are found, please contact the Scott County Map Date
surveyors office. 4/17/2012 S O