HomeMy WebLinkAboutFence Permit 15-40 F PRS® CITY OF PRIOR LAKE BUILDING PERMIT, �`-` l Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � Z-7
ANI) UTILITY CONNECTION PERMIT ' l
*'A/NESo*"' I.White File pERMIT NO.
2. pink City
3 Yellow Applicant
Please type or print and sign at bottom)
ADDRESS ZONING(office use)
iL4 Ltoit� NL
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
QMENER
(Name) ���}� - PSK-V (Phone)
(Address)
BUII,DER
(COmpany`Name) he,t �5�/"l l� (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection '
CODE: ❑I.R.C. ❑I.B.C. Misc. nQat
Type of Construction: I II III IV V A B / PROJECT COST/VALUE $
Occupancy Group: A B E F A I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished i Formation 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-mention d property and that a constructio ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev ke this permit for just use. Furth ore,I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
Signature Contractor's License No. Date
Permit Val ation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; F% $
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 NOPRUV $
Gas Fireplace Permit Fee $ TOTAL UE $
This Application Becomes Your Building Permit When Approved Paid =Receipt N
Date B
Building Official Date
v Yy 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
�'yAf&"tnejthe CityPlan nsututes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Ceruhcate of Occupancy must be
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
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