HomeMy WebLinkAboutFence Permit 03-23
.
CITY OF PRIOR LAKE BUILDING PERMIT, e DateRec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File I PERMIT NO
2. P;,k 0;" . p.., -:> _ ""'l..
3. Yellow Applicant V ~ O"".::J
(please tvr>e or print and sUm at bottom)
I ADDRES~ I f n I')
J 4' /- l3,.Gt I I k:1C"-lUT
~ 12' c..u::
LEGAL DESCRIPTION (office use only)
LOT05BLOCK ADDITION l'JORTV'iro D
/
, fOWNER
(Name)
ZONING (office use)
R-lSP
PID.75- 141- O/7-tV
F R.A.N I( P. PO l./ ff Jr f
"3Jb~ 13uTT~~NtlT CI!?CJ-J:
(Phone) '1[;3. ~ I.fL'i- t. Lf? 9_
/V.W.
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
(Phone)
(Phone)
o New Constroction
ODeck
OPorch
ORe-Roofing
OLower Level Finish 0 Fireplace OAddilion OAlteralion
~MiSC. ~}C-<5 - d I H"E?16-l-trPROJECfCOST/VALUE (excludiogland) $
ORe-Sidiog
OUlility Connection
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 will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aw that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enteru~y._y~.., ro o;r~spectioDJj.
X ~ siina~re - - (}ll /lAg) H- / ~o~~~s~ce;' No Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I-Penalty
I Plumbing Pennit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 It;
I Pressure Reducer
I City SAC and WAC
1 Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
#
#
#
$
$
$
$
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
I Paid
I Date
I ReceiptNo.
Bv
Building Official
Date
This is to certify that the request in the above application and a.~~~.""'_.Jing documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~. ~er .onstitule. a mporary Certifica~ ~:.'~~ce and allows construction to ___.__.____. Before occupancy, a Certi!kate of Occupancy must be
~;v ~~" qirector Date Special Conditions, ifany
~ I I \..../ ~r notice for 011 inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
"3JIo'J-
BWTif2".R/'ILlT C./Rc;.I-~
F ~/'1t:.~
:5 /,r ~- T t:- f4
356 I
, /..I "y.. 3 t A :Q 9'l
~
. ~TJ?J?lFr
BU'i rjt~"'LlT c: I R c.)..~
~T~r:::;:$W~
M- /b)"J..CJo3
~Q'
'0
--n~
'" ~ Q
~" .
('\
"?\ ~ t::J
'^
-I ..... ./\
\Jo.
~
-I:
1
::t
li'
~
w ~
0-, -y..
Q W,
~-~::r.
~ ~I
(\'"
lJ :t
,..
_ <:l
III "1
~ APPROVED ----
. PLANNING DEPT
G.:~.~ Dale.2:.lP.Ob
.... l"
~ "-
'" ~
-oj "',
).
---
Pfi/tJ!t
l-
I-
ll!
':t '- ~
"" '::.
r\- 'Il.
~ Q ~ \
~~:: ~II
::;,~
-l
-(V\
....
""
h4 /(,J:"