HomeMy WebLinkAboutBuilding 05-0810
:;- 0 0 0 ~oooo "ll 0 )>- -0
en 0 :I: ~ C z_
"'C 0 ~ "z""" 0 c ~~
~ lD 0 s: -z ~OO Z Z ::0
Sl -I C/I c:o m mO
::0 ::0 !C m m
0 ::0 ~)>-C:ZZ-l ::u 0""
:-! " en
m m Zr->ZCZ Z en ::!"ll
C/I 9
>:, > Z ~Cl~Cl 0::0
z-
~ -I -I m 0 - zO
l<:l .., c;; C/J o~ 0
I -I Z 0::0
S CD "
CIO > <5 ::!>
~ Ul 0
0 Z -l Z 0"
" > 0 mm
~ 0 Z ::0
::0 C :<
~ -l 11 11
. :I: ::0 ::0
~ m 0 0 000000
z 0 0
~ m m m iI:"llC/l~iI:"ll
>< m m mr-~>,mr-
>.:l -I C C oC: -IOC:
~ (S z ~ :I::I: m:I::I: "ll 0 en
~ en ,,!!!::O::O::o!!! m 0 0
~ "ll :l ZZ:I::I:-Z ::0 Z :I:
::! m lD >ClOO Cl 3: -l m
:::!.
~ 0 (') r-"oo ::0 ::j ?' c
-l 0 -"'''' - c:
<5 a. zcc z r-
~ Z :1 ~"ll"ll 9 m
~ C
N
"..
~ :I:
~ 0 ~ l~
c:
::0 000000
C/I
5! z Cl""O~
)>- >$$0
~ C f!?mm:l:Cl ()
~ ~ _"ll"ll1l~
~ z tIi>>>c
0 >ooz:;;
~ !T1 _mm-l_ -t
::0"::0 r
-1-_ r i:
C/lz Z m
-I~ Cl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f'ZZ.OJ
(PI,_ !II1' 0' pri'" _d ~ .. bottom)
ADDRESS
J~ <0 ~U~O-V~ RtL-nvJ
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 05.08/0
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~ ~
(Name) 11..) ~
(Address) , S-- q V - .~
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) q r; J ..If''M.. ~ lhJ,
tV
(Phone)
TYPE OF WORK
ODeck o Porch Re-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OUtility Connection 0 Misc.
~ 34~..l)~
DE: DI.R.C. DI.B.c.
_ pe of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
lI'herebY certify that I. have h.lrmshed mt()rmatlon on this application which is to the best of my know. ledge true and correct. I also certIfy that I am the owner or.authorlzed agent for the
I above-menttoned property and that all cot~ructlOn wtll conform to all extsttng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
I :'ficial ca'} revo thIS permll for J t cause Furtherm e, I hereby agr e that the City offIcial or a deSignee may enter upon the property to perform needed m~:nl ~ -' 0 b
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllt! Oftlcial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThiS IS to certify that the request IU the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary 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