HomeMy WebLinkAboutFence Permit 07-0004
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I White
Pink
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File
City
Applicant
~7i)) /;Udtow~?:I :)f-'- :iuJ
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK tj ADDITION / .>~~:e-"7 IlJ
OWNER
(N ame)
'L-~\ ~1\ to .Q\\}
?:AU \t\J \ \ \ ()WW() orA
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
!iJk/JJtI/lL1
/
(Phone)
(Phone)
(Phone)
4..5. () 7
PERMIT NO. 07
OOD4--
Z~j(OffiCC use)
PID
3S::?06-(){3-(l
~\7_ -~1R ,60k0
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAdditlOn OAlteration OUtility Connectlon
ORe-Siding OLower Level FinIsh 0 Fireplace
CODE: OI.R.C. OI.B.C. )(MiSC
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
~lA4,.cF __ +, (J.f/F11111 t,lNItC-
PROJEIJr- COST IV ~~E $
(excluding land)
I hereby certlly that I have hllOlshed mfmmatlOn on this application which IS (() the best of my knowledge true and correct I a!so certify that I am the owner m authorized agent 1m the
above-mentlllned pn1perty and that all ((mstructlon Will conform (() allexlstmg state and local laws and will proceed m accordance with submItted plans I am aware that the bUlldmg
':"(1,11 cao "'~~ft1l ~tormLJle. I hereby aglee that the CIty offiCial or a desIgnee may enter upon the propelty (() pertorm~']J.6c/oD I
~ SIgnature Contractor's LIcense No Date
Permit Valuation
Permit Fee
$
$
$
Plan Check Fce
State Surcharge
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace permy Fcc $
I '"
I . ·
ioJolmm" Y~~'P'~~P;"d
Buildll1g ~Ial ~ .). e '
~
Park Support Fee
SAC
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fec
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
4. 1: v1
/ !
# $
# $
$
$
# $
# $
$
$ ,; jC---r
$
I
Receijlt No_
By ;:.L
U
ThIS IS to certify that the request m the above applicatuln and accompanYing documents is In accordance with the City luning Ordinance and may pruceed as requested. ThIS ducument
when signed by the City Planner cnnstltlltcs a temporary Certificate of ZonIng cumphancl' <md allllws cunstrllctlOo to cummence. Bcfnl"c occupancy, it Certificate of Occupancy must he
Issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
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Valley Surveyil'Jf
Scott County
Page 1 of 1
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not pr fi!
responsible for any inaccuracies herein containedffi~t't:\.I11.1 '''''-
discrepeancies are found, please contact the Scott" ~
County Surveyors Office. ~ , ' wZr" ' " "'1-"I'~ 2007
))'lACC: 'j AS 800Ml r 1l::U " I ,
~':'..____ '.'JmI9Qlll~_...,..f __
o NOT ACCt:i" I t:1J-CORRECT & RESUBMIT
Th~ ""'Wll~ are for Y~'JI' L~u~ All worlc shall be dam
f.." .\..'{J ",,""Hhl',.ul...uwr.... au~l........ .....".u.....,...m;' u.~,y 1& &.4.HW~w ~
requ;remems includL1g items not "i".' :::i..aIly I~ in this review.
IEPTH1S PL~ SETON SITE/ir All TIMES.
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http://gis.co.scott.mn. us/serv let/com.esri .esrimap.Esrimap ?ServiceN ame=overview &Client V ersion=4. O&F... 4/5/2007