HomeMy WebLinkAboutFence Permit 15-35 F PRIO CITY OF PRIOR LAKE BUILDING PERMIT, J Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
_ X AND UTILITY CONNECTION PERMIT
4NES0"r 1.2. Pinkte city PERMIT NO. •! )-
3 Yellow Applicant eJ
(Please type or print and si n at bottom)
ADDRESS
ZONING
ZON° NG(office use)
EALDESCRIPTION(office use only)
BLOCK ADDITION PID J 5-dOO- 0
OWNER �-
F'1T
(Name) Secu—)l C -I(� l? G,19K (Phone) Jc7
(Address) 3 Y 1' N �5�53101
BUILDER ++ 11
(CompanyName) C1 (3 �Uc� (�11� (Phone) `I 50` '4 o- - U I
(Contact Name) f ( I' L G�G�ieill (Phone) tOld - Ad—d9d Co
(Address)01 N • 1 v T�i r (1 1 c���3�
TYPE OF WORK ❑New Construction ❑Deck ❑Porch E]Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑LB.C. wmisc.
Type of Construction: I If III 1V V A E PROJECT COST/VALUE $ ��, wo
Occupancy Group: A B E F II I M R S U (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 I am the owner or authorized agent for the
abobe-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 pe 't forjust ca isee Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X' 'kiCC(O101� til ally
4Signature Contractor's License No. Date
Permit Valuation Park Support Fee # g
Permit Fee $ SAC # $
Plan Check Fee $ Water]deter 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 Re N
Date ,(Q
l3
Building Official Dute F)PROW- 17
-
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 d by the City Planner c . a temporary Certificate of Zoning compliance and allows construction�►to{/co�ylmmence. Before occupancy,a Ceruticate ofOccuCpaanncyymust
lbe
ISSIIC v _ A 1 �
` f7
Planning Director G/'Date \
24 hour notice for all inspections(, t47-9350 L
4646 T)aknta StrP.Pt Prinr T AVP, MN 5527 � r
EXCAVATOR AND OPERAT
OR'S NOTICE }
This is to inform eXcavato
rs and
operators they must com
2ply with sections
16D.03 to
216D.07 of A41NNESOTA
STATUTES
a
Gopher State One Call
Telephone: (800) 252-1166 or
(651) 454-0002
j
License lookup Page l of 1
Page
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14114hE54TA DEPARTMENT O
�.3
LABOR&ENDus'Ci fel'
�a
License/Certificate/Registration
Detail
Class Type: RESIDENTIAL BLDG Number: BC661813
CONTRACTOR
Application No: 308775 Status: ISSUED
Expire Date: 3/31/2016 Effect 4/2/2014
Date:
Orig Date: 1/25/2013 Print 2/1612015
Date:
Enforcement NO
Action:
Name: US PATIO-SYSTEMS INC
Address: 218 RIVER RIDGE CIR N
BURNSVILLE, MN 55337
Phone: 800-581-3517 Fax: Other: 952-693-3829
Business Relationship Requirements -
Name: DAUFFENBACH, CRAIG E
Lic/Reg No: QB143846
Status: ISSUED Application 269490
No:
Expire Date: 3/31/2016 Effect Date: 4/1/2014
Orig Date: 12/20/2010
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