HomeMy WebLinkAboutFence Permit 07-0025
CITY OF PRIOR LAKE LDI~NRMIT,
TEMPORARY CERTIFICATE F ZONING . OMPLIANCE
AND UTILITY CONN MIT
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City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
/jO/0I &-C)/'v(
/72-0/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER /7 _
(Name)~t5
J1?lfrJtJ i ,vEC
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration o Utility Connection
Date Rec' d
(p. Z,(). 0 7
;:OVtb
PERMITNO'07 007~
PID
ZONING (office use)
C(J/-qyo- (/'-1'1.3
ORe-Siding OLower Level Finish
-- --- /1.-/
J-/-:7t/ cb -- 7
CODE: OLR.C. OLB.C. ~iSC
Type of Construction: 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
PROJECT COST IV ALUE $
(excluding land)
o FIreplace
I herehy certity that I have hlfmshed mformation on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or <lutho!"lzcd agent for the
abllve-mentHlned \ljlelty and tha ,Ill (llustluctHln will cunfmm to all eXIstIng state anll local laws and wIll ploceed In accmdance WIth submitted plans I ,1m "wale that the buildIng
"Ifll 1,,1 can lee!j' pel mlt fo 1St cause FUI thel mOl e. I hel eby agl ee that the CIty offiCIal or a deSignee may enter upon the plOpelty to pel form needed InSpect)llUS
X /.lL ~~ -C/ Jcl It)'?
// ~Ignature 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
Mechal11cal Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee i $ Other
Gas Fireplace Permit Fee I $ TOTAL DUE
#
#
#
#
$
$
$
$
$
$
$
:Jf
~~ce'p~
I~ -
.
This APPli11JJecomes Your BU~~ding Permit When Approved
II fZ/l. ~ t.. L,v. "J-7
!/~lildl11g Umelal Date /
TIllS IS t~('l'rtIty that Ihl' requl'S! 111 the above appltcatlOn and accompanYlllg documents is 111 accordance with the City ZonIng Ordinance and may p",ceed as requested. TIllS documl'l1t
when sl!ncd by till' CIty Planner constItutes a temporary Ccrtltic.lte of Zonll1g compliance and allows construction to commence. Before nccupancy, a Certificate nf Occupancy must be
lssul'd
Paid
Date
------
(;- - 2-C. ('/
t
Planning Director
Date
2.t hOllr notice for all inspections (952) .t.t7-9850, fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any