HomeMy WebLinkAboutFence Permit 13-30 o PRi; CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0 ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �?
AND UTILITY CONNECTION PERMIT V U
y/Ntve 1. Pink City Citt y
White File PERMIT NO. /3 3 D 2. Pi
3 Yellow Applicant
'nt and sign at bottom)
ADDRESS I ZONIN tee use
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID , 5 q59- 01,5-c
Name) ( i' '�,�_ � t (11 _
1 V Phone 507 - -3 CI ` 3 ?
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK 0 New Construction ❑Deck ❑Porch DRe- Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace
❑Addition ❑Alteration ❑Utility Connection •
CODE: ❑I.R.C. ❑I.B.C. 'sc.
& 1 /14:000,-/ P /�f v4 f?�s`
Type of Construction: I II III IV V AB ` !!!
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that 1 have famished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the
above-rneationed property and that all coruction 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 re3ol(e this permit for just caus Further ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X .
Si 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 $
0
Gas Fireplace Pr it Fee $ TOTAL DUE $
This Applicati t, . mes Your Building Permit When pproved Paid Receipt No.
. � Date By
\ i;
Bu e • ' icial Date
This is to certify t a 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 th 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