HomeMy WebLinkAboutBuilding 05-0530
:;- 0 0 0 000000 "tl ~ )- -0
en :I: C z_
-0 0 ~ 0 en"z""" e c ~~
2 (J) 0 0 s: :::::jzen~OO z z "
0 ~ m me
)- 0 :xl :xl 3: ~)-C:3:i~ m " m 0."
l::l :-! " '" zr~-c- Z (fl :!"tl
t!:I m m (fl
0 en en -I~)-~ 9
~ )- Z 0"
-I "tl - -I z-
t!:I > -I -i m 0 - zO
l<::l 0 Cii en o z 0 0"
S -I ~ -I Z
~ (5 0 (5 ::!~
Z -I Z 0",
> 0 mm
~ > Z ~
r
~ r C
" " "
~ 0 " "
~ " 0 0 000000
" 0 0 ~
~ m m m =="tlen~=="tl
m m
Z 0 c mr~>mr ~ .
en OC -IOC -
~ ~ ~ " :I:== m:I:== "tl 0 ~ (fl
m "~"""~ m 0 0
c:I fiii :J 0 ZZ:I::I:-Z " Z :I:
::! (J) -I >(i)00 (i) 3: -I m
:::t (5
~ (') r"OO " ::j ~ c
0 Z zee - z ~ C
~ a- m r
~"tl" 9 m
:-! m c
C "
~ 0 ~
" 0
m
~ 0 '" f~
0 I
< 000000
m
~ ~ (i)"TI"TI0~ ~
Z )-:ii:ii0 ~ '-1
Roo (i) ~mm3:(i) m
~ _""tl"~
~ ~~~~c
>ooz=n
""l _mm-l_
::: ""TI" r -1
-1-_ r i
enz z m
-I~ (i)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
/5:2 3
Date Rec' d
White
Pink
Yellow
I PERMIT NO. ()fy--- 536
File
City
Applicant
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
~
ZONING (office use)
LEGAL DESCRIPTION (office use only) ~
LOTf~ BLOCK I ADDITION !1/~rt-LJ 0(
OWNER ~r/
(Name) :;.It; r
"
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID
3;}3' () t3
/l;hr
(Phone) 75";1. -~7"t!J - .57 .5~
~
L,Lt!
(Phone)
(Phone)~~-7P?--/~~~
~ ~fl;. ~
TYPE OF WORK 0 New Construction ODeck OPorch o Re,Roofing
OAddition OAlteration OUtility ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
B
U
ORe-Siding
OLower Level Finish 0 Fireplace
-- Sldl ';Vy l)~(,rna ~
$ D?S6b,-
B
S
o MiScRe~~~j'r
I
PROJECT COST IV ALUE
(excluding land)
I hereby certify that I have htrnished mformatIOn on this application which is to the best of my knowledge true and correct. J also certify that [ am the uwner or authonzed agent for the
Jbove-mentlOned proper and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
oftlcial can re, e this o' 1st c Ise Furthermore, I hereby agree that the CIty Of~~ a;/n;g,;~te'ln the property to perform ne~d ':'110:' t::!>S
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 I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlllt! Uftlcial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ r/Ce.-
~ ?f-/ g~~
I ~~ceiPtrFI7
ThIS IS to Ct'rtlfy that the request in 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 temporary Certificate of Zonmg complIance and allows construction to commence Before occupancy, a Certlticate 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