HomeMy WebLinkAboutReSide 05-1019
s- o 0 0 000000 'tl ~ ~ -0
z_
III 0 ~ c ~~
"0 0 ~ en."z"''''''' 0 c
8 ~ 0 i: ::jzen~OO z z ;:0
0 s:l. m mo
~ 0 ;:0 ::u !: ~~C:ziS m " m 0."
~ r- ~ ::u " zr-~zoz z en :::!-u
m m en
r- 0 tn Z ~ :::!Ci)~Ci) ~ 0;:0
~ -I > z-
-I -f m 0 - zO
K::l (jj en o z 0 0;:0
S ~ -I Z
~ 01 0 (5 :::!s:
0 -I Z 0"
." 0 mm
~ 0 > ;:a
;:0 r- :<
~ -I r-
." 'tl
. ~ 0 ;:a
~ m ::u 0 000000
z ;:a 0
~ m m m iI:'tltn~iI:'tl
>< z m mr-~)o'mr-
:lIil -I tn 0 0C: -IOC:
~ ~ Z 0 'tl ~iI: m:x:iI: 'tl 0 tn
en ~ m "'!!!::U::U::u!!! m 0 0
~ ~ 'tl ::l 0 zz~~-z ;:0 Z ::I:
::! m ~ -I >Ci)oo Ci) iI: -I m
0 ::t (5 r-."oo ;:a ::j ;;0 0
~ ()
-I 0 Z -"'''' - z c:
(5 3- Zc:c: r-
~ OJ ~'tl'tl ~ m
z ~ m c
~ N ."
. 0
~ ~ ;:a
m
~ 0 0
c: 0 i~
;:a < 000000
en m
:i! z ;:a (i)"''''o~
> Z >$$0
Ro C (i) ~mm3:Ci)
~ ~ _'tl'tl'tl~
~ ~~~>o
z >OOz:n
~ 0 _mm-l_
~ ;:a"';:a r- ....
-1-- r- i
tnZ Z m
-I~ (i)
--- - -----------_ "_________m___ ___'_~_'__________'__"_
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
t)9/
Date Rec' d
White
Pink
Yellow
I PERMIT NO. 05- /0119
File
City
Applicant
{/!olo ra do
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK ~ ADDITION
PID ~tJ/Oo6- O'J-.J ()
OWNERD M
(Name) elhSC CtYI-e M43(\cM
(Address)
(Phone) q 5). ,.;1 ~ It; - 3 g9 ),
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
Re-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.c. DI.B.c. o Mise. ~---
Type of Construction: 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: 1 2 3 4 5
I hereby certify that I have hlfnished mformation 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-menllOned property and that all Cllnstruction wIll conform to all eXlstmg state and local laws and will proceed in accordance with submilted plans I am aware Ihat the building
official n revoke this permIt for Just cause Furthermore. I hereby agree that the CIty official or a deSIgnee may enter upon Ihe propel1y to perform needed inSpectIons
x
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Ol1icial
Date
Contractor's License No.
JO-I"5-0<;-
Date
Park Support Fee # $
SAC # $
Water Meter SizeS/S"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE --- $ ~.---
Paid
Date
?h' ./
c/.-/3 ...,?
l;~' Sb()0J
This IS to certify that the request m the above applicatIOn and accompanYing documents IS In accordance wIth the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporal)' Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions. if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372