HomeMy WebLinkAboutBuilding Permit 12.0019 Fence of PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
E. x AND UTILITY CONNECTION PERMIT
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3 e City PERMIT NO.
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3 Yellow Applicant (
(Please type or print and sign at bottom)
X ADDRESS ZONING (office use)
/4L 837 elC �9 A-v' s
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER oo,y� �+ ry
( Name) 2, i� l •Cf7 /0/iv
hone) �2 - 9.
' 5
(Address) j/./ 4 3 7 / _ /ITT 4-7/
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck EPorch ['Re-Roofing ERe-Siding ['Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ['Utility Connection ( t✓t
CODE: ❑I.R.C. ❑I -B.C. Misc. ^ ) t ,r /' `" J ( f 7v 6
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F HI M R S
(excluding land)
Division: 1 2 3 4 5
I 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 t am the owner or authorized agent for the
above- mentioned property and that all construction will conform to all e isting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
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off al can rev 4 i this permit for just cause Furth more, 1 r -re agr-'that the city official or a designee may enter upon the property to perform needed inspections.
x /./ ,� �� / "°---2 -- / 2-.
Signa 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 Fireplace Permit Fee $ TOTAL DUE $
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This A .. icatio B • lo es - our Building Permit When Ap, ov: Paid Receipt No.
i i Date By
&, A) 41 1 ' ,�
•uild iUffic. r .ate
This is to that t . c ` quest i the above application and accompanying documents is i cco - dance with the City Zoning Ordinance and may proceed as requested. This document
when si, e. .y t , C y t Ian r onsntutes a temporary Certificate of Zoning compliance d ows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning .'rector late Special Conditions, if any
4 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372