HomeMy WebLinkAboutFence Permit 08-0016
CITY Of FRIOU. LAKE DU .1'Jl1 ~MIT,
TEMPORARY CERTIFICATE ZONING .9bMPLIANCE
AND UTILITY CON ~RMIT
I White
Pink
Yellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
fs,76/
H / L{.., O!!es I
LEGAL DESCRIPTION (office use only)
LOT +BLOCK " ADDITION PV OR-
15 0 U77I
OWNER
(Name)
5,e/~
P~/z::
(Phone)
(Address)
i BUILDER
(Company Name)
I (Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtrlIty Connectton
~rsc
~ate ~ec I d
~~ (, . tJE;
F~Nt6
PERMIT NO.OS ~ oof€? j
ZONING (offiee use)
,R/SD
I
pm zs. on. /ID. d
(qS-L) 393 - ~ (~
ORe-Siding OLower Level Fimsh
B
S
PeAl t..E - 5'
CODE: DI.R.c. DI.B.C.
Type of Constnlction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
U
PROJECT COST IV ALUE $
(excluding land)
A
B
o Fireplace
(],)P11 IV t.r INK--
I hereby certlty that I have turnlshed mf"rmatlOn on this applicatIOn which IS to the best of my knowledge true and correct I also certify that I am the owner or authollzed agent lur the
Jb<lve-mentwned property and that all construcllon will conform to allexlstmg state and local laws and WIll procced In accordance with submllted plans I am aware that the buildmg
~ti7.z1S P7~ Furthermure, I hereby agree that the CIty official ur a deSIgnee may enter upon the propel1y to pcrtlJrm nee~ ;'C('I:'" 0 ~
Sign~ Contractor's License No. Date
Permit Valuation 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
#
#
#
#
$
$
$
$
$
$
$
$
$
fJ
/
1~'
m A""'j m on< Boild;., P'~;";;~;&d
ll~I~l1g UlIiclal Date
TIllS IS to cert~J~hat the request In the above appllcatHlO and accompanYll1g documents is 111 accordance wllh the Clly Zoning Ordinance and may pltlceed ,IS requcsted rillS document
v.'hcn signed by the City Planner Cllllstttutcs a temporal)' Certificate of ZOI1lng complIance and allows construction to commence. Bcfnrc occupancy, a Certificate of Occupancy must be
isslIed
Paid
Date
Planning Director
Date
... ... .
24 honr notice for all inspections (952) 447-9H50. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Receipt No.
By
Special Conditions, if any
J
ESTIMAI~ / ORDER
Gopher State (1) Call ID #464
Ticket #
Nearest Intersecting Street
Hudson Page #
Township
Hudson Grid #
Range
525 E. Villaume Ave. I South St. Paul, Minnestoa 55075
(651) 451-2221 - Fax (651) 451-6939
Corner Lot
o
Section/Quarter
r.'
NamE'
/1/./7}(. f:l-:/t/"//
lr/,.,-.' ,-- - -- / /i~'
,L) e::L- / ~- C-
Date
G /;7
/ /./'
,.
/ /--:-
20t v
SpOUSI"
Addrecc
k- ? P / /-r/t.--L-
/}i/c/L L---/~~~
Job No
(;"2 e0r "--r/-~-' ,J. e:- Sa'espersor/2-t-""/l/ /Y(dZk;?{t..J0
State /~~ Zip J:-J-'-=?,/~~ P. o.
Home P~~-t?)) 3' ~;$7 - 7'6 Y./' Picture No.
Work ~~~(~ JI:-/- c;15~Y C_ Te;~s~
-............,
City
Employer
Job Site Addre<<
Work Phone (Spouse) (
10% Down
50%-startU-~
Balance To Installer on
Completion', )
Customer Initials ( I//~
Credit Card #
(~~OJ?<J ~Yvr20)
;;2-; /q;e:; 07// / ~/i JnLd~
<;.S~ 7?Ji/C-/L::. ..- {!W~-6/2HVC/<-/~X C/I!/.J/~
g~J n/c/:;74/&s-' )/1//'/7/ 7.;:;:/
DatI" 0-'';7~-aJ2t1t~(;;S7/ l,,-- "
Expi ration~~ / to~e: 6t901f14--;~7 '~~ { ~ 63 c:;,~ (./
DP D PS 0 BC 0 ALL 0
A SERVICE CHARG..i'Of-1112y..~~r . onth (1~% ~~nn-ii~l~Y). Wllt~.~ yed. ;:?t6-. r/ I / 6t~~ (/ 6~ C-v
on all past du alances/ ~/ ~.r- tt,87t/Z#fiF"X / i.-?'" - ~RI'((~1N?TALLATlON
The purchaser all be respon Ie fo'r any and~1I collection and legal cOsts
incurred by Mid Fence in the event of this bill bec~lTling past due. TAX
M'd F t1"--'--_ ~. h'. ....a... t'f THIS ESTIMATE VALID FOR 30
I west ence reserves ne n\:l"~ ,u ,ren..t e-rmprove proper y I payment
in full as agreed to in this contract is not received. DAYS FROM ABOVE DATE
f()
.. I <- '-? k l/ // 0(,';.?b~
~ ~/ " r ,.l-{,;]-vZ:;)'
/' /'1. ~ / "'-, .- . -:.\-
//Z::.-t.lt/ 'Y /.!/' / C-. O//7/'c.t;? l.//L.Y L- L. '-trY' / ... '. ',- -- . I-?;.f;)' \)
- .A' ~ ~-"
,/-'(~#Ge Rz;}z/c ~.~,r-- \ '-'f?
~{?'{j ... \ . /. -, /
~ / s~
5.3 I /
0f;11-e.
/&e-5- 4 y:&~ (
6~;'--f) ,~~
c/' 'ule- /~ \.b / - \ i-kx.Ub- '1 I ~I
I
Cell Phone
E-moil:
QUANTITY
DESCRIPTION
/
/55
'/
/
,dA
/, // IJ-? ~
~; C h r' (;;tf/
. I
T72-7~/~.
\
7/ e::-
~ / l~~
,;:;>( /
.-."..
,.-7
-//
I
;rz:::;/Z/7/ ~ c-r
Price
Down Payment: Check #
Amt.
TOTAL
) -" ."] 0
.-,<. ,I,?) I
."....-.,
_-"C..'
Owne, 'e.pon.ible for e.tabli.hing COffect p,operty and fence line.. Any Pe,mits required .hall be the .ole ,e.pon.ibility of the owner. Owner re.ponsible for removal of
obstructions of every nature which will interfere with the in.tallation of the fence. Thi. contract assumes normal ground conditions. Should rocky or excessive hard digging be
encountered, owner agree. to pay additional co.ts of .uch work. Midwest Fence & Mfg. Co. sholl furnish only the material and labor specified in this contract. Any changes mode
from the above .pecifications will be billed at Midwe.t's current retail prices.
E-mail: link@midwestfence.com
-"
~.u ',//,'" ./ .'--'- ~",+:-.... .-L:--::~
~. .>;:;/ ..L4'<L:?A:-..<.l'~q..../ .tr). <{7 .-. -',
~~am// #;./-:..~~~: .-
l t?;t~lf/ ,7 ~~~--Z
/Salesperson's Signature
www.midwestfence.com
"., I
7" /?~a?
This order will become binding only upon Midwest Fence Manager's approval.
Form 2 - Rev. 2-05
Copyrighl@ 2005
Manager
Date
Scott County
Page 1 of 1
5'
e.tf1(uJ
u,.; 1<..
6781 HILLCREST
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
responsible for any inaccuracies herein contained, If
discrepeancies are found, please contact the Scott
County Surveyors Office,
~.
/Scott
w.'
s
A~
t ~
.J _ .i~,~'
April 25, 2008
http://gis.co.scott. mn. us/serv let/com.esri .esrimap. Esrimap ?ServiceN ame=overview &Client V ersio... 4/25/2008