HomeMy WebLinkAboutFence Permit 07-0005
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
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File
City
Applicant
I PERMIT NO. 07-o~ I
(Please type or print and si~n at bottom)
ADDRESS
.3 2. 8"" <(" <0\- : c; \ S
ZONING (office use)
S-\-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Vl-< 4-J 0'vV lSrco 1<-
d-CJ3 'I ~~ ~ ~ f-
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(Phone)
Cj'r-~- ~SO- <<~7
L",IL..- f4 Ai 5r)iL..,
(Address)
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BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
DAddition DAlteration DUtility ConnectIOn
CODE: OLR.C. OLB.C. Q(Misc. hl/1~""'"
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
Ished mformatlllO on this applicatIOn which IS to the best of my knowledge true and COlTect I also certify that I am the owner or authollzed agent tor the
JboYl'-mcotlOncd prop' an that all constr clion will conform to all cxistmg state and local laws and will proceed in accordance with submItted plans I am aware that till' building
. permit or Just calL urthcrmorc, I hereby agree that the Clty official or a deSIgnee may enter upon the prope11y to pcrf(lrm needed mspectlons
,
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Signature
Contractor's License No.
Date
Water Tower Fee
#
#
$
$
$
$
$
$
$
\
$ -
$ \"
\
1
I
I
/(/
I
Plan Check Fee
$
$
$
Park Support Fee
SAC
#
#
Permit Fee
State Surcharge
Water Meter Size 518"; I";
Pressure Reducer
Penalty $
Plumbing Permit Fee $
Mechamcal Permit Fee $
Sewer & Water Permit Fee i $
Gas Fireplace Permit F~ I $
_ ( I
~4i1;;~
~ ,!ft?d!"
,
Sewer/Water Connection Fec
Builder's Deposit
Other
TOTAL DUE
Paid
Date
Receipt No.
By
ThiS is to certify that the request 111 the abnve application and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the CIty Pl;lI1ner CllnStltutes a temporary Certificate of ZonIng compliance and allows constructIOn to commence Befure occupancy, a Certificate of Occupancy must he
ISS\.ll'd
Planning Director
Date
24 hour noticc for all inspcclinns (952) .t47-91150, fax (952) .t.t7-.t245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any