HomeMy WebLinkAboutBuilding 05-1146
5" 0 0 0 0 DtD D D D "tI 0 )>- -0
III 0 :J: ~ 0 Z_
~ 0 0 ~ en Z"''''''' 0 0 ~~
g 0 $1 0 0 s: =4 en 00 z z ;0
;;0 ;;0 m)>-c:~C:O m mO
)>- 0 ~ ~ ;;0 s: _,>~Z-l m ;0 m 0."
, ~ " z en :::!"D
~ , m m m z ZOz en
~ 0 0 en Z JfQ~Q 9 0;0
~ t -l -l > z-
~ > -l -I m - zO
lC .... (ij en o 0
I 0 -l Z 0;0
S CD -l ." ..
co ~ 0 > :j>
~ 01 '?' 0
0 Z -l 0"
." ~ > 0 mm
~ 0 Z ~
~ ,
, 0
~ -i ." "tl "tl
~ :J: 0 ~ ~
~ m ~ 0 0 000000
z ~ 0 0
""1 m m m m ~"tIen~~"tI
~ Z m m
~ 0 0 m'~>m'
Z 0 en oC: -l0C:
~ ~ "tI :J:3: m:J:~ "tI 0 en
~ en :e m .,,~~~~~ m 0 0
~ "tI ::J 0 zZ:J::J:-z ;0 Z :J:
::! (1) -l
m :::!.. >(j)00 (j) 3: -l m
~ 0 () 0 ,.,,00 ~ =4 ;:a 0
-l 0 Z -"" - c:
0 ?t to Zc:c: Z ,
z m ~"tI"tI 9 m
~ N ." 0
.... 0 ~
~ :J: ~ \J)
m
~ 0 0
c 0 \ ;p
::0 < .......
en m 000000
:i! z ~ (j)"''''o~ ---
)>- Z >$$0 ~
R0- o (j) ~mm~(j)
~ < _"tI"tI"tI$!
)>- ~>>>o
~ z
0 >ooz:;;
~ !Tl _mm-l-
~.,,~ ' -4
-l-- , i
enz z m
-l~ (j)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/(/7 oS
( Please
ADDRESS
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. //+G
ZONING (office use)
/4t'J 0
399--/ /YJ/q;c:..s (!/frlL,.c:.." eo
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
PID25. 932. (J/4--.0
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
;(" I;
11/ el! m,,'??1
,,'");, h .1
~
C ? c /11, - --efl-( /( 5 r
TYPE OF WORK 0 New Construction ODeck OPorch
DAdditlOn OAlteration DUtility Conn
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
III
H
2
V
M
4
A
R
5
IV
I
3
I
E
II
F
1
(Phone) ~/2 ;; b 7- 71 ],7
(Phone)
( t.-
ORe-Siding OLower Level Finish o Fireplace
o Mise
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby eertIty that [ have turmshed Inl()rmatio i- is application which IS to the best of my knowledge true and correct I also certIfy that I am the owner or autho!lzed agent for the
JIl<lvc-mentl()ned property and that all const ction 111 conform to all existIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
"fflclal can revoke s ermlt .-1St cau Furt lmore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed Inspectlons
X ~~7h~
Contractor's License No. 't ~
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
~echanical Permit Fee $
Sewer & Water Permit Fee I $
~bas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
l3uildlllg Uniclal
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '1 !# '" t/fJ
No_ C7JJ 8
This IS to certify that the request in the above applicatlOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document
wheu Signed by the Cay Planner CllnStltutes a temporaty Certificate of ZonIng comphance 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