HomeMy WebLinkAboutFence Permit 15-60 I
of PRt®� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
U
AND UTILITY CONNECTION PERMIT
10• ���
4VINIVESO' P I.White' File PERMIT NO.
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID 6-
OWNER_ \
(Name) iV t (Phone) ZZ 1 '
(Address)
BUILDER A
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ❑Deck []Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ❑Utility Connection 1 ,
CODE: ❑I.R.C. ❑LB.C. ❑Misc. I�Ir
Type of Construction: I IT 111 IV V A B 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 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 im"il 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 ermit for just cause Fut e- or I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
0 �- S
Xgnatuvf Contractor's License No. Date
Permit Val ation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
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 PaidRecel t N .
Date B
Building Official Date
This is to Se " the request in the above application and a companying documents is in accordance with the City Zoning Ordinance a proceed as requested. This document
whe ned by the ity P.nner consntut po ettificate of Zoning compliance and allows construction to commence. Belor cy,a Certificate of Occupancy must be
` 0
Planning Director
In
Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850
4646 Dakota Street Prior Lake,MN 55372
£9 816 dOd
37OHNViY
,
,
i Z£Z6
oy Z 'R.6 dot `
`�'?�� 37OHNVW
� , 8 gas � �A. bye sa, � �. ` �� •�
- , �' � ��i 'v�s mss' � � `` �•
roll, 0
L 9 Alb
C3