HomeMy WebLinkAboutZoning Compliance 12.0053 Fence O ; pRj�.p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
Ay ,1 \ ' { TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
t:J y4( —� i �' AND UTILITY CONNECTION PERMIT
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2. Far
Pink
.. Pink City PERMIT NO. ( - S 3
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS 16 aS'7 TAyiNK CT NW pONIlNG (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) se t< M
C el J, &er1t2 (Phone) 9 S) ' a I O - 0 if 0
(Address) J S ? TA U/N rA GT N 1) f r, 02 L A % MN SS 3i a-
BUILDER j [ •
(Company Name) A' /esT Fene-e- 1 t iP
/ /� . Co , • (Phone) 65 4 ! /
7,51 -a.P a
(Contact Name) 20 P etet'Svim+ (Phone) GS(- 20 3 - 5-60
(Address) S.)5 E ti; &nU'ne five. Sot SI . 7/3 l/ I hi) SS 0' )S
TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re -Roofing ❑Re- Siding ['Lower Level Finish 0 Fireplace
❑Addition ['Alteration ['Utility Connection
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CODE: QI.R.C. 114.13.C. leMisc: FP/I -1- C(k(A.) /A-
Type of Construction: I II III IV V A B 00
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ �70
Division: 1 2 3 4 5 (excluding land)
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 I am the owner or authorized agent for the
above- mentioned property 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 can revoke this permit for ju t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X x064 1 i9 9,,I //a
Signature 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 $ " (C/
This ; . di i comes Your Buildi ng Permit ' , en A . l oved Paid Receipt No.
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Date By /u
B ' 'ding Official Date
This is to - i ' that the est in the above application and accompanying docum is is . accordance with the City Zoning Ordinance and may proceed as requested. This document
when si-. : i by i Ci 1 . , er constitutes a temporary Certificate of Zoning co..liance .. d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. r r �
I .,..•:M'r . f 2 7 z
I' t•6 % Date Special Conditions, if any
our notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372