HomeMy WebLinkAboutFence Permit 15-46 61 PRroJP CITY OF PRIOR LAIM BUILDING PERMIT, � Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
��NNeso�P I. White File PERMIT NO.
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(o ice use)
1 IZ14
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 3 `
OWNER / l
(Name)jpc-rr w y " ?20AS L (Phone) 412-
(Address) O C-
BUILDER •�^ AA _
(Company Name) Y l ,tx W r�2- - �� ''t�—�—' (Phone)
(Contact Name) "Yo-r— (Phone) `1sol - "'A9 Lf— It 1,5-7
(Address) 5 L;, , C lc< �*n C l7 o� tk �k • �v� D
TYPE OF WORK [-]New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding []Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑LB.C.
Type of Construction: I H III IV V A B Xmisc.
PROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fiimished 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
6ab property and that all construction will conform to all exislin state and local laws and will proceed in accordance with submitted plans. I am aware that the building
cial can revoke his permit for jmore,I her gree that a city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. I 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 ` O
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance an y proceed as requested. This document
whe ' ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before oc [piney,a Certificate of Occupancy must be
t.
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
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