HomeMy WebLinkAboutFence Permit - 13-58 - Tower / AN1 YBZO
,� U CITY OF PRIOR LAKE BUILDING PERMIT, D ate Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
' 5 n ,C�
AND UTILITY CONNECTION PERMIT
t I. white File 2. Pak City PE NO.
3. i 3 �
(Please 3. Yellow Applicant I
type or print and sign at bottom) ,
ADDRESS
4741 Tower Street SE Prior Lake, MN 55372 ZONING (office use)
LEGAL DESCRIPTION ( office use only)
LOT BLOCK ADDITION . PID -- (if� 1 O-1 4-4)
OWNER li0( I,IQ�
(Name) _City of Prior Lake (Phone) 952- 447 -9892
(Address) 4646 Dakota Street SE, Prior Lake MN 55372
•
BUILDER
(Company Name)_City of Prior Lake (Phone) _952- 447 -9892
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ['Porch DRe-Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: I.R.C. DI.B.0 ® Misc: Fence
Type of Construction: I II HE IV V A B
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ 18,561.00
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 pennit for just ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x / s 9/23/i 3
gnature 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 $
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date B
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 P . er co •'es a em.., ary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be sti issued. / %
• i / OP 'P. -ctor Date
Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
9/10/13 Scott County
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4680 6680 4884 46E.4 4884 4883 `: 4.130 c 4680 .'.
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Tower Street WT
This drawing is neither a legally recorded map nor .„+.,
a survey and is not intended to be used as one. �`
This drawing is a compilation of records, J . . ,, U `
information, and data located in various city, i
county, and state offices, and other sources ."" 1
affecting the area shown, and is to be used for ...1. °� — ' �
reference purposes only. Scott County is not A
responsible for any inaccuracies herein contained. �v /
If discrepeancies are found, please contact the 3'Cf N(�/NK
Scott County Surveyors Office. September 10, 2013
Buildin Date v1
Zoning = ` '-- Date q .2 s - /.i
Grading_ Date